June 2015

Liver abnormality

Clinical Info

Has had an elbow between the ribs during a sporting activity.

Ultrasound Images & Clips

Liver abnormality

Liver abnormality
Liver abnormality
Another image of the lesion
Another image of the lesion
The lesion is not vascularized
The lesion is not vascularized
There is no blood in the abdominal cavity
There is no blood in the abdominal cavity
CT
CT
The same liver two days later
The same liver two days later
Again the lesion is not vascularized
Again the lesion is not vascularized
And there is no blood in the peritoneal cavity
And there is no blood in the peritoneal cavity
The same liver a few weeks later. The lesion is now completely liquefied.
The same liver a few weeks later. The lesion is now completely liquefied.
The lesion proved to be a posttraumatic intraparenchymal liver hematoma without free peritoneal blood
The lesion proved to be a posttraumatic intraparenchymal liver hematoma without free peritoneal blood
This is the longitudinal image of the lower abdomen of a 16 year old girl that also had a blunt abdominal trauma
This is the longitudinal image of the lower abdomen of a 16 year old girl that also had a blunt abdominal trauma
This is the transverse image of the lower abdomen of the same patient
This is the transverse image of the lower abdomen of the same patient
The liver is very inhomogeneous
The liver is very inhomogeneous
Again the liver shows an extensive inhomogeneous area and there is an abnormality between the right diaphragm and liver
Again the liver shows an extensive inhomogeneous area and there is an abnormality between the right diaphragm and liver
Another image of the abnormality between liver and diaphragm
Another image of the abnormality between liver and diaphragm
Another image of the abnormal liver and abnormality between liver and diaphragm
Another image of the abnormal liver and abnormality between liver and diaphragm
Last image of the inhomogeneous liver and lesion between liver and diaphragm
Last image of the inhomogeneous liver and lesion between liver and diaphragm
The CT scan shows a large liver rupture and subcapsular hematoma, but no free peritoneal blood

Conclusion

Both patients had posttraumatic liver abnormaities. But in both cases there was no blood in the peritoneal cavity. Absence of peritoneal blood does not always exclude a liver rupture. In case of a blunt abdominal trauma beware of parenchymal injuries without free peritoneal blood.


Details

  • Sex: Male
  • Age: 20

Created with

  • Hitachi Ultrasound System