Presentation
Focal swelling, ecchymosis, and tenderness in RUQ, history of warfarin use
Patient Data
Age: 45 years
Gender: Female
From the case:
Abdominal wall hematoma with active bleeding
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A large hematoma with a fluid-fluid level and another smaller similar one are visible in the right anterolateral abdominal wall. At least four foci of active bleeding are visible within the larger hematoma, which increases in size on delayed images.
From the case:
Abdominal wall hematoma with active bleeding
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The red arrows depict the foci of the active bleeding.
Case Discussion
A fluid-fluid level within hematoma on a non-contrast CT scan could be a clue to the presence of active bleeding.