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There is low density free intraperitoneal fluid (mean density around 5 HU) in the right para-colic gutter and supramesocolic space (peri-hepatic and peri-splenic). Renal excretory phase reveals extravasation of intra-venous administered contrast into the peritoneal cavity through a rupture of the urinary bladder dome. The contrast-stained fluid is seen in the right para-colic gutter and in between small bowel loops, confirming its intraperitoneal location. Kidneys and ureters are unremarkable. No pelvic fractures were seen.
A small traumatic hematoma with active bleeding (contrast blush) in the segment IVa of the liver is also worth mentioning.