PMC9471145_01
CT manifestation post polytrauma. (A) Liver rupture, perihepatic hemorrhage (yellow arrow). (B) Exudation around the pancreatic head. (C) Fracture of the left femoral backbone. (D) Fracture of the left tibia.
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F1
In the Emergency Department, computed tomography (CT) showed liver rupture, perihepatic hemorrhage, exudation around the pancreatic head, abdominal and pelvic effusion, fracture of the left femoral backbone, and fracture of the left tibia (Figures 1A-D).
Abdominal enhanced CT manifestation. (A) (Coronal) a large amount of perihepatic and abdominal fluid (green arrow) and stenosis of IVC (yellow arrow) and hepatic veins (red arrow). (B) (Horizontal) a large amount of perihepatic fluid (green arrow) and stenosis of IVC (yellow arrow).
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F2
Abdominal enhanced CT showed a large amount of perihepatic and abdominal fluid (partially encapsulated) and compressed liver, causing stenosis of IVC and HVs (Figures 2A,B).
Significant improved on the compressed IVC (yellow arrow). (A) Coronal. (B) Horizontal.
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F3
The abdominal distension and ascites were relieved after intraperitoneal centesis and drainage, and abdominal enhanced CT on September 29 showed a significant improvement of the compressed IVC and hepatic veins (Figures 3A,B).
Abdominal enhanced CT manifestation. (A) (Coronal) IVC (yellow arrow) returned to be normal. (B) (Horizontal) IVC (yellow arrow) and hepatic veins (red arrow) returned to be normal.
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F4
Abdominal enhanced CT on November 8 showed that IVC and hepatic veins returned to be normal (Figures 4A,B).