Liver laceration and pneumoperitoneum on POCUS

BAT s/p MVC-unrestrained driver. RUQ pain. Good quality FAST exam windows negative. Look at detailed view (sag/trv) of RUQ. Findings?

Liver laceration present.  U/S has lower sensitivity for detection of solid organ injury.

Patient did have trace amount of free fluid adjacent to the liver laceration but would not have been detected on a focused perihepatic window.

Always look for second injury.  Patient also has pneumoperitoneum from duodenal perforation. Note the presence of ringdowns (red arrow)

Dr. Robert Jones @RJonesSonoEM

#Liver #laceration #pneumoperitoneum #POCUS #clinical #ultrasound #trauma
Contributed by

Dr. Gerald Diaz
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/

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