June 2015

Liver abnormality

Clinical information

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 two weeks later
The same liver two weeks later
Another image of the intraparenchymal liver hematoma
Another image of the intraparenchymal liver hematoma
This is the lower abdomen of a 16 year old girl
This is the lower abdomen of a 16 year old girl
This is the transverse image
This is the transverse image
The liver is inhomogeneous
The liver is inhomogeneous
There is an abnormality below the right diaphragm and liver
There is an abnormality below the right diaphragm and liver
Another image
Another image
Another image
Another image
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

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