Presentation
High-speed MVA. Tender and bruised RUQ.
Patient Data
Age: 55 years
Gender: Female
Loading images...
Axial C+ portal venous phase
Moderate volume of free intraperitoneal fluid, particularly around the spleen which has a small hypodense and superficial cleft posteriorly, suspicious for grade I laceration.
Patchy fat stranding and fluid is seen within the small bowel mesentery, in the region of mesenteric vessels. Small foci of higher density are seen within the fat stranding, immediately adjacent to vessels and suspicious for venous bleeding. The bowel loops themselves show no gross abnormality and there is no free gas.
Lap belt subcutaneous bruising overlies the epicenter of the mesenteric abnormality.
Case Discussion
Injuries demonstrated in this case:
- mesenteric tear with (probable) active venous bleeding
- grade 1 splenic laceration
Unable to process the form. Check for errors and try again.