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Abdominal computed tomography scan of the 36-year-old man, showing intra-parenchymal laceration with hematoma (arrow).
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The segment 7/8 of the liver showed a large intra-parenchymal hematoma, and there was no hemoperitoneum or contrast extravasation (Fig. 1). Thus, he was admitted to the intensive care unit (ICU) for NOM of the blunt liver injury.
Chest radiography of the same patient performed 58 h after first abdominal computed tomography scan, showing right subphrenic abnormal entrapped air (arrow).
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In the ICU, intermittent high fever up to 38.7  C was observed, which lasted for three days, and chest radiography revealed right pleural effusion and some entrapped air over the right subphrenic space (Fig. 2).
Abdominal computed tomography scan of the same patient performed 4 h after chest radiography, showing a gas-containing liver abscess over the previous injured liver (long arrow). The perihepatic fluid accumulation and intra-peritoneal free air indicated rupture of abscess (short arrow).
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Then, repeat abdominal CT on the same day revealed a large abscess with rupture at the previously injured liver parenchyma with air and fluid accumulation around the perihepatic space (Fig. 3).
Laparoscopic view of the same patient, showing perihepatic turbid bloody fluid accumulation (arrow).
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By laparoscopy, the turbid bloody fluid and necrotic tissue around the injured liver could be drained well (Fig. 4).
Abdominal computed tomography scan of the same patient performed 4 months after surgery, showing a well-healed liver injury and no residual abscess (arrow).
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Follow-up abdominal CT performed 4 months later showed a well-healed liver injury and no residual abscess (Fig. 5).