Case 307:   Laceration

Diagnostic Category:

Clinical Presentation:

24 year old man; Motorcycle collision. Positive FAST. Abdominal pain.

CT: AAST grade 5

Imaging Findings:

Contrast enhanced CT shows 75% disruption of right hepatic lobe involving more than three segments, representing liver laceration AAST grade 5. Note hemoperitoneum.

Three weeks after the trauma a large posttraumatic biloma is filling the lacerated liver portions.