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Axial (A) and coronal (B) abdominal CT scans demonstrating AAST grade 5 hepatic laceration with extravasation in segments 5 and 6.
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Once hemodynamically stable he underwent abdominal CT imaging, which was significant for a grade 5 right lobe hepatic laceration with active arterial extravasation from Couinaud segments 5 and 6 (Fig. 1).
Hepatic angiogram demonstrating contrast blush from active right hepatic arterial branch hemorrhage.
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Interventional radiology expeditiously performed hepatic visceral arteriography and selectively embolized an actively bleeding branch of the right hepatic artery. (Fig. 2).