CT
Axial C+ portal venous phase
Coronal C+ portal venous phase
What organs are injured?
Liver - lacerations (grade III/IV) and subcapsular haematoma. Right adrenal haematoma. Haemoperitoneum is also present.
List some late complications of liver trauma.
Bile duct injury leading to bile peritonitis or biloma. Delayed haemorrhage. Abscess formation.
There is a large liver laceration extending through the majority of the right lobe (predominantly segments VII and VII also extending inferiorly into segment VI) with a moderate to large subcapsular haematoma measuring 2.5cm in width and greater than 10cm in length.
The right hepatic vein and posterior branch of the right main portal vein run into the laceration without evidence of active extravasation.
2.0 x 1.6 cm right adrenal haematoma.
Perisplenic haematoma without discrete splenic injury.
Conclusion:
- Grade III-IV traumatic liver injury.
- Right adrenal haematoma.
- Perisplenic haematoma without obvious splenic injury.