Liver Hematoma s and

The etiology of a liver hematoma may be blunt abdominal trauma or rupture of a neoplasm such as a hepaticadenoma or cavernous hemangioma.

USG—An acute hematoma tends to be highly reflective because of fibrin and erythrocytes forming multipleacoustic interfaces. Over a period of months the hematomausually become cystic and develop internal septations.

Fig. 3.9.14: Two large metastatic lesions are seen with central hypoechoic areas with irregular margins suggestive of necrosis


Fig. 3.9.15: Hemangioma (in calipers) in left lobe of liver having hyperechoic appearance


Fig. 3.9.16: An ill-defined lesion is seen in right lobe with multiple areas of hypo - and hyperechogenicity suggestive of resolvinghematoma in a patient of blunt abdominal trauma

Fig. 3.9.17: US scans show hepatic laceration and contusion in a case of blunt trauma abdomen

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