Traumatic liver laceration - importance of portal venous phase CT

Case contributed by Dr Chris O'Donnell

Presentation

Fell from bike at 40 kph onto right side of abdomen. Now abdominal pain

Patient Data

Age: 17
Gender: Male

Arterial and PV phase CT abdomen

Typical "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.

Case Discussion

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

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Case information

rID: 20968
Case created: 24th Dec 2012
Last edited: 16th Nov 2015
Inclusion in quiz mode: Included

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