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RADIOLOGY: HEPATOBILIARY: Case# 32828: SUBTLE HEPATIC LACERATION AT FISSURE OF LIGAMENTUM VENOSUM AND INFERIOR VENA CAVA. The patient is a young male status post MVA. CT is performed to rule out intra-abdominal injury. There is fluid tracking along the ligament which may represent subtle change secondary to a liver laceration extending from the ligamentum venosum. There is also minimal fluid surrounding the hepatic IVC. This may represent subtle change of an injury to the IVC in this region. There is evidence of periportal edema. The liver is the second most commonly injured intraabdominal organ in trauma (after the spleen). In fact, hepatic and splenic injuries are seen together in a high percentage of cases (up to 45% of hepatic injuries will have an associated splenic injury).

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Peter Anderson
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