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A liver injury, also known as liver laceration, is some form of trauma sustained to the liver. This can occur through either a blunt force such as a car accident, or a penetrating foreign object such as a knife. [1] Liver injuries constitute 5% of all traumas, making it the most common abdominal injury. [2]
Abdominal imaging is associated with many potential uses for the different phases of contrast CT.The majority of abdominal and pelvic CT's can be performed using a single-phase, but the evaluation of some tumor types (hepatic/pancreatic/renal), the urinary collecting system, and trauma patients among others, may be best performed with multiple phases.
An abscess and a THAD (white arrow) on a contrast CT in native, arterial, portal and delayed phase. [1] [predatory publisher]Transient hepatic attenuation differences (THAD) are areas of enhancement during the arterial phase of contrast CT of the liver.
The Liver Imaging Reporting and Data System (aka LI-RADS) is a quality assurance tool created and trademarked by the American College of Radiology in 2011 to standardize the reporting and data collection of CT and MR imaging patients at risk for hepatocellular carcinoma (HCC), or primary cancer of the liver cells. [1]
Ischemic hepatitis, also known as shock liver, is a condition defined as an acute liver injury caused by insufficient blood flow (and consequently insufficient oxygen delivery) to the liver. [5] The decreased blood flow ( perfusion ) to the liver is usually due to shock or low blood pressure.
Parenchymal changes of the lung can often be evaluated adequately without the use of intravenous contrast. CT pulmonary angiogram: 20 ml [notes 2] 17 ml [notes 2] 15 ml [notes 2] Minimal amount when using specific low-contrast protocol. [notes 2] CT of abdomen: Overall: 70 ml [11] 60 ml [11] 55 ml [11] Liver: 55 ml [notes 3] 45 ml [notes 3] 40 ...
Volume rendered CT scan of abdominal and pelvic blood vessels. CT angiography is a contrast CT where images are taken with a certain delay after injection of radiocontrast material. The contrast material is radiodense causing it to light up brightly within the blood vessels of interest. In order for the CT scanner to be able to scan the correct ...
The main purpose of hepatic packing is to prevent the bleeding so trauma triad of death can be avoided. [3] Under- or over-packing of the liver can cause adverse outcomes, and if the bleeding cannot be controlled through this surgical method, the Pringle manoeuvre is an alternate technique that can be utilized temporally.