Posttraumatic hepatic hematoma - Color Ultrasound

Keywords


Title: Color Ultrasound - Posttraumatic hepatic hematoma
Diagnosis: Posttraumatic hepatic hematoma
Author: Dr.ROSSET Antoine
Comment: Dr. KHAN Haleem
Hospital: HUG
Department: Radiologie
State: Terminée
Date: 21.03.2003
: 4293
Chapter: Liver & Spleen


Clinical Presentation: Trauma of upper right quadrant incurred aftera ski accident.
Comment: Color Doppler US is useful in evaluating patients withhepatic trauma
and can perfectly show vascular lesions such aspseudoaneurysms of the hepatic artery
but most the most common typeof vascular injury is a perivasular laceration paralleling
thebranches of the right and middle hepatic veins(as shown in ourcase) and the anterior
branches of the right portal vein. Freshblood is hyperechoic and with time and resorption
of divitalizedtissue and reabsorption of interstitial fluid the lacerationbecomes hypoechoic
and eventually indistinct.
Description: The right lobe of the liver(segment VII) presents twohypoechoic
lesions that are well defined and correspond to sequelaof hemorrhagic contusions. These
lesions are not vascularized anddo not extend to the hepatic veins. Note the important
pleuraleffusion.


Order: 1053
Dislocation: 0
Polytrauma: 0
Open: 0
Pathologic: 0
Operation: 00.00.00
Graft: 0

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