PMC6159210_01
Contrast-enhanced CT abdomen coronal (a) and axial (b) reformats demonstrate the inferior vena cava thrombus (yellow arrow) and the hepatic lacerations (blue arrows).
bjrcr.20160117.g001.jpg
PMC6159210_01_bjrcr.20160117.g001.jpg
f1
The CT of the abdomen and pelvis demonstrated Grade 5 (AAST liver injury scoring scale) liver lacerations in the right lobe extending to the right and middle hepatic veins (Figure 1a), a centrally located hypodense filling defect in the suprahepatic inferior vena cava (IVC) (Figures 1a,b) extending to the base of the right atrium (Figure 2), a right adrenal gland haematoma, a moderate haemoperitoneum and a grade 4 right kidney injury.
Contrast-enhanced CT abdomen sagittal reformat demonstrates the inferior vena cava thrombus (yellow arrow).
bjrcr.20160117.g002.jpg
PMC6159210_01_bjrcr.20160117.g002.jpg
f2
The CT of the abdomen and pelvis demonstrated Grade 5 (AAST liver injury scoring scale) liver lacerations in the right lobe extending to the right and middle hepatic veins (Figure 1a), a centrally located hypodense filling defect in the suprahepatic inferior vena cava (IVC) (Figures 1a,b) extending to the base of the right atrium (Figure 2), a right adrenal gland haematoma, a moderate haemoperitoneum and a grade 4 right kidney injury.