PMC4010027_01
Medial displacement of the colic frame.
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fig1
AP abdominal radiograph (Figure 1) shows medial displacement of the colic frame and presence of gas in distal large intestine as radiopacity of the abdomen.
Bleeding tension, displacing abdominal organs.
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fig2
Abdominal CT findings show the presence of tension liquid that displaces the organs, but they retain their normal appearance (Figure 2), because the presence of clinical signs of hypovolemic shock is performed volume expansion with saline and packed red blood cells by central (right subclavian).
Membranous bag containing blood.
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fig3
Then it is taken to OR; exploratory laparotomy revealed the presence of a membranous bag containing about 2 liters of blood (Figure 3).