PMC6413403_01
The computed tomographic angiography of abdomen of first time revealed subcapsular hematoma (asterisk) with contrast extravasation at left lateral segment of liver.
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Her hemoglobin dropped from 114 to 88 g/L, and abdominal CT angiography (CTA) showed a massive subcapsular hematoma with contrast extravasation in the left lateral segment of the liver (Figure 1).
The angiography of abdomen revealed diffuse hepatic artery aneurysms over bilateral liver parenchyma with contrast extravasation over branches of left hepatic artery (arrowhead).
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Emergent angiography showed diffuse hepatic artery aneurysms bilaterally over the liver parenchyma with contrast extravasation from a left hepatic subcapsular hematoma (Figure 2).
The computed tomographic angiography of abdomen 3 months later showed complete resolution of subscapular hematoma (asterisk). A residual hematoma over right lobe of liver was noted but without any clinical manifestation.
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Follow-up abdominal CTA three months later showed resolution of the hepatic aneurysms (Figure 3).