From the case: Hepatic infarction


Abdominal CECT

Findings consiste...
Axial C+ portal venous phase
Findings consistent with late Liver infarction of segment 8 Postsurgical changes regarding cholecystectomy and extended segmentectomy of segment 5. Peripheral low attenuation area, geographic (triangular) segmental distribution more or less straight margins, limited laterally by the middle and right hepatic veins, with plenty of gas inside the ramifications following portals and bile. These findings are consistent with late liver infarction probably secondary to anterior branch of the right portal vein injury . Moderate pneumoperitoneum mainly localized perihepatic space and small bubbles dispersed across handles. Striking gastric distension suggests holding stomach accompanied by esophageal dilation. Bilateral pleural effusion, accompanied by right lower lobe collapse. Small amount of free fluid in perihepatic space, Morrison´s space, surrounding the duodenum and Douglas´s space. Bilateral inguinal hernia with fluid in the right content. Drainage introduced by right iliac fossa with perihepatic space distal end.

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