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The CT finding. (A) The initial CT scan in the emergency department reveals no fluid collection in the perihepatic area. (B) The CT scan reveals massive fluid collection, and the white arrow indicates contrast extravasation from the liver surface.
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Initial abdomen computed tomography (CT) scan showed no fluid collection in the abdominal cavity (Fig. 1A). Abdomen CT showed massive fluid collection and contrast extravasation from the liver surface (Fig. 1B), suggesting hemoperitoneum and chest tube location was intra-thoracic cavity (Fig. 2).