[Unsuspected hepatic rupture with peritoneal extravasation of contrast media revealed by computed tomography].
Computed tomography (CT) plays a major role as the initial diagnostic tool in adult blunt abdominal trauma. Indications of CT are hemodynamical instability, abdominal defense and high-speed deceleration. We present the case of a 22 year-old man involved in a motor-vehicle accident admitted in our emergency department with headache but without clinical signs of intraabdominal trauma. The abdominal CT was asked because of the high-speed deceleration and because the patient had to come to the CT room for a head CT. The abdominal multislice helical CT performed with contrast bolus injection showed a massive intraperitoneal extravasation from a hepatic laceration and avulsion. The patient died during operation despite immediate management of the abdominal traumatic lesions detected by CT.
Tack
D
D
Service de Radiologie, C.H.U. de Charleroi.
Van Wilder
F
F
Perlot
I
I
Delcour
C
C
D000007:Abdominal Injuries / Q000000981:diagnostic imaging*; D000063:Accidents, Traffic; D000328:Adult; D003287:Contrast Media; D005119:Extravasation of Diagnostic and Therapeutic Materials; D017809:Fatal Outcome; D006465:Hemoperitoneum / Q000000981:diagnostic imaging*; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D008099:Liver / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D012421:Rupture / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
D003287:Contrast Media