EURORAD ESR

Case 13037

Conservative treatment of hepatic subcapsular haematoma following laparoscopic cholecystectomy

Author(s)
Sergio Savastano, Alessandra Costantini, Davide Dal Borgo, Stefano Trupiani, Leonardo Giarraputo

Ospedale, Radiologia
Dipartimento di Diagnostica per Immagini
v.le F. Rodolofi 37
36100 Vicenza, Italy
Email:sergio.savastano@ulssvicenza.it
 
Patient
male, 74 year(s)
 
 
  • Figure 1
    Abdominal ultrasonography

    Inhomogeneous hypoechoic collection surrounding the right lobe of the liver. The lower portion of the collection shows a multilayered appearance (left panel).

     
    Area of Interest: Liver; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 2
    Emergency CT
     

    Non-enhanced scan: large intrahepatic subcapsular collection with hyperattenuating component, consistent with haematoma.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Contrast-enhanced scan (portal phase): no extravasation of contrast medium.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Contrast-enhanced scan (portal phase): a gas bubble is evident on a cephalad scan.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Contrast-enhanced scan: sagittal reformation.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 3
    CT after one month
     

    Contrast-enhanced scan (portal phase): decrease in size of the intrahepatic subcapsular haematoma.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Contrast-enhanced scan: coronal reformation.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
Inhomogeneous hypoechoic collection surrounding the right lobe of the liver. The lower portion of the collection shows a multilayered appearance (left panel).
 
Non-enhanced scan: large intrahepatic subcapsular collection with hyperattenuating component, consistent with haematoma.
 
Contrast-enhanced scan (portal phase): no extravasation of contrast medium.
 
Contrast-enhanced scan (portal phase): a gas bubble is evident on a cephalad scan.
 
Contrast-enhanced scan: sagittal reformation.
 
Contrast-enhanced scan (portal phase): decrease in size of the intrahepatic subcapsular haematoma.
 
Contrast-enhanced scan: coronal reformation.
 
 
 
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