RADIOLOGY: ABDOMEN: Case# 33547: TRAUMA LIVER, SPLEEN, PANCREAS, KIDNEY, ADRENAL. Patient in motor vehicle accident. 1. Severe laceration to the liver, right kidney, pancreatic head and neck, and spleen were seen. 2. Hemorrhage and hematoma within the gallbladder is noted with gallbladder wall edema. 3. Duodenal hematoma noted. 4. Shocked bowel consistent with hypotension. 5. Intraperitoneal hemorrhage noted throughout the abdomen and pelvis.