Case 308:   Laceration

Diagnostic Category:

Clinical Presentation:

52 year old woman; rollover motor vehicle collision.

CT: AAST grade 5

Imaging Findings:

Horizontal 5cm liver laceration grade 5 of segment 8 with venous extravasation on delayed images after 10 minutes. Juxtahepatic venous injury involving the right hepatic vein and IVC. Note also contrast extravasation of the cystic artery into the gallbladder.