Traumatic liver laceration - importance of portal venous phase CT
Fell from bike at 40 kph onto right side of abdomen. Now abdominal pain
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Arterial and PV phase CT abdomenTypical "bear claw" laceration of the right hepatic lobe due to blunt trauma - note no rib fractures thus this is a "burst-type" injury really only seen on the portal venous phase.
Liver typically has this type of laceration in the right lobe with impaction force to the right upper quadrant.
May be associated with vascular or bile duct disruption.
See also - Liver trauma injury grading