November 2012

Abnormal liver

Clinical Info

26 year old female patient. The same patient from the case of october 2012.
Patient operated for a duodenal perforation a few days before. She has a distended abdomen and severe abdominal pain

Ultrasound Images & Clips

Abnormal aspect of the liver, that was normal a few days ago

Abnormal aspect of the liver
Abnormal aspect of the liver
Another image of the abnormal liver
Another image of the abnormal liver
The hyperechoic structures are moving. Can you guess what it is
Detail of the portal vein
Another detail of the portal vein. There is a massive amount of air in the portal circulation.
There is peritoneal fluid around the liver
There is peritoneal fluid around the liver
Abnormal bowel loop with air in the bowel wall
Abnormal bowel loop with air in the bowel wall
Another image of the bowel with air in the wall
Another image of the bowel with air in the wall
There is also air in the peritoneal cavity (pneumoperitoneum)
There is also air in the peritoneal cavity (pneumoperitoneum)
CT
CT
CT

Conclusion

The patient was immediately operated and had an abdominal compartment syndrome. Part of the small bowel was necrotic and was removed


Details

  • Sex: Female
  • Age: 26

Created with

  • Hitachi Ultrasound System