PMC4006566_01
Left upper quadrant screenshot of bedside ultrasound performed in Case 1. The star indicates clotted blood adherent to the spleen and the circle indicates surrounding anechoic blood.
CRIEM2014-454923.001.jpg
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fig1
A focused bedside abdominal ultrasound was performed and there was significant free fluid in bilateral upper quadrants (Figure 1).
PMC4006566_02
Left upper quadrant screenshot of bedside ultrasound performed in Case 2. The stars indicate surrounding anechoic blood.
CRIEM2014-454923.002.jpg
PMC4006566_02_CRIEM2014-454923.002.jpg
fig2
At that time, focused bedside abdominal ultrasound revealed large amounts of free fluid in the abdomen and the patient was immediately taken to the operating room for an exploratory laparotomy with general surgery (Figure 2).