IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Stellate liver and right kidney lacerations

Case contributed by RMH Core Conditions
Diagnosis certain

Presentation

High speed MVA

Patient Data

Age: 25 years
Gender: Female

Moderate hemoperitoneum with blood seen predominantly within the right upper quadrant tracking down the paracolic gutters and pooling within the pelvis with the presence of clot formation.

Stellate right lobe hepatic laceration with intraparenchymal hematoma. The left lobe of the liver is spared. The main portal vein and branches are intact. There is mild evidence of periportal tracking. No active contrast extravasation. No pseudo-aneurysms seen.

The right kidney is heterogenous in appearance with evidence of a parenchymal defect extending through the cortex to the medulla. There is a focal region within the mid to lower pole suspicious for segmental infarction. The main renal artery is patent. There is no change in caliber lateral renal artery enhancement to suggest renal artery dissection.

The gallbladder is distended. The pancreas, spleen and adrenal glands also appear preserved. There is no free gas to suggest the presence of a viscus injury. Presumed gastric paresis noted.

The bladder is moderately distended but intact. Flattening of the IVC is in keeping with a moderate degree of hypovolemia.

No pelvic fracture identified.

 

Case Discussion

Injuries sustained:

  • liver laceration (AAST grade 3)
  • renal laceration (AAST grade 3)

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.