PMC10189632_01
Computed tomography scan on admission of a 74-year-old woman who underwent cardiac arrest. (A-C) Sequence of images of the abdominal window showing no ascites or splenic injury. (D) Bilateral anterior rib fractures are seen (red arrowheads). (E, F) Coronal and sagittal images of the abdominal window showing no splenic injury.
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This revealed multiple bilateral anterior rib fractures due to the chest compressions, with no evidence of other injuries (Fig. 1).
Computed tomography scan with abdominal contrast enhancement of a 74-year-old woman who underwent cardiac arrest, on day 4 of admission. (A, B) Arterial phase and (C, D) equilibrium phase. Imaging reveals massive ascites, with an average of 60 Hounsfield units and a suspicious lesion of splenic laceration (B, D, arrowheads) without contrast extravasation.
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An emergency laparotomy was carried out due to the massive bloody ascites observed on contrast-enhanced CT (Fig. 2).