Test Yourself

Case 2 - wrap around liver

HISTORY

This elderly man was the driver of a vehicle which was struck from the rear.

Shortly after transfer to the Emergency Department he complained of left upper quadrant pain and a FAST scan was requested. He was haemodynamically stable.

ULTRASOUND FINDINGS

In the views of the left upper quadrant , note the appearance of a 'mass between the diaphragm and the spleen' - this is hypoechoic compared with the splenic echo pattern. There is no free fluid seen in the abdomen.

DISCUSSION

In the clinical setting of a ?splenic subcapsular haematoma- careful scanning of left lobe of the liver demonstrates the 'mass' to be the left lobe of the liver. This is a normal variant where the left lobe of the liver is enlongated and wraps around the spleen

SUBMITTED

Greg Sweetman