June 2015

Liver abnormality

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Clinical information

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

Ultrasound Images & Clips

Liver abnormality

Another image of the lesion

The lesion is not vascularized

There is no blood in the abdominal cavity

The same liver two days later

Again the lesion is not vascularized

And there is no blood in the peritoneal cavity

The same liver two weeks later

Another image of the intraparenchymal liver hematoma

This is the lower abdomen of a 16 year old girl

This is the transverse image

The liver is inhomogeneous

There is an abnormality below the right diaphragm and liver

Another image

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

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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