Age: 34
Sex: Male
Indication: Trauma
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Case #72
Findings
- Chest
- Mild dependent atelectasis
- Several partially calcified mediastinal lymph nodes
- Abdomen/Pelvis
- Complex hepatic laceration measuring 6 cm in depth predominantly involving hepatic segments 2 and 3 without evidence of active hemorrhage
- Complex laceration involving the superior pancreatic body with surrounding parenchymal contusion
- Adjacent hemorrhage with a small contrast density focus which enlarges on delayed phase images
- Moderate volume of hemoperitoneum, primarily in the lesser sac, perihepatic space, and subhepatic space
- Scattered interloop fluid in the jejunal mesentery
- Cholelithiasis
- Left kidney is absent
- MSK
- Mildly displaced left lateral fifth through ninth rib fractures
- Right posterior wall acetabular fracture with a displaced bone fragment in the right hip joint and right hip joint effusion
- Hips are located
- Remote healed left scapular fracture
Diagnosis
- Hepatic and pancreatic lacerations
Sample Report
Complex laceration involving the superior pancreatic body with surrounding parenchymal contusion and adjacent hematoma in the anterior pararenal space and lesser sac with small focus of active hemorrhage. Given extensive involvement of the pancreatic body, a pancreatic duct injury is not excluded.
Complex left hepatic lobe laceration measuring 6 cm in depth without evidence of active hemorrhage at this location. Moderate surrounding hemoperitoneum.
Scattered interloop fluid in the jejunal mesentery raises concern for mesenteric injury.
Mildly displaced left fifth through ninth rib fractures without pneumothorax or pleural fluid collection.
Right posterior wall acetabular fracture with a displaced bone fragment in the right hip joint and right hip joint effusion. Hips are located.
Discussion
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References
- Brody JM, Leighton DB, Murphy BL, Abbott GF, Vaccaro JP, Jagminas L, Cioffi WG. CT of blunt trauma bowel and mesenteric injury: typical findings and pitfalls in diagnosis. Radiographics 2000; 20: 1525-1537.
- Gupta A, Stuhlfaut JW, Fleming KW, Lucey BC, Soto JA. Blunt trauma of the pancreas and biliary tract: a multimodality imaging approach to diagnosis. Radiographics 2004; 24: 1381-1395.
- CT in blunt liver trauma. Radiographics 2005; 25(1): 87-104.
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