Liver Laceration



Liver Laceration


Kelly L. Hastings



CLINICAL HISTORY

25-year-old restrained driver in a motor vehicle collision.






FIGURE 47A






FIGURE 47B


FINDINGS

Figure 47A: Axial contrast-enhanced CT of the liver at the level of the hepatic veins. Multiple linear and branching low-attenuation lacerations involving hepatic segments VIII and IVa extend to the vascular pedicle of the porta hepatis (arrows). Associated hemoperitoneum in the perihepatic region identified (arrowheads). Figure 47B: Contrast-enhanced CT at the level of the portal veins. Extension of the laceration into a large region of low attenuation involving most of hepatic segments V and VI (arrows). Amorphous high-density material within the large laceration/hematoma (arrowhead), representing active contrast extravasation..


DIFFERENTIAL DIAGNOSIS

Hepatic laceration, fatty infiltration, cholangiocarcinoma.

Aug 1, 2016 | Posted by in NEUROLOGICAL IMAGING | Comments Off on Liver Laceration

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