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    A young woman experienced liver trauma and intrahepatic hematoma after an electrical current injury and fall. The liver hematoma was detected 48 hours post-injury, despite an initial negative CT scan, highlighting delayed presentation in polytrauma burns.

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    Area of Science:

    • Trauma surgery
    • Emergency medicine
    • Medical imaging

    Background:

    • Electrical current injuries can cause severe internal trauma.
    • Falls from height, often associated with electrical injuries, lead to polytrauma.
    • Intrahepatic hematomas are collections of blood within the liver parenchyma.

    Observation:

    • A young woman sustained liver trauma following an electrical current injury and a fall.
    • An intrahepatic hematoma developed 48 hours after the initial injury.
    • The initial computed tomography (CT) scan of the abdomen was negative for hematoma.

    Findings:

    • Delayed presentation of intrahepatic hematoma is possible after electrical current injury and polytrauma.
    • CT scans may not immediately detect intrahepatic hematomas, necessitating follow-up imaging.
    • This case highlights the complex interplay of electrical injury, blunt force trauma, and delayed intrahepatic bleeding.

    Implications:

    • Clinicians should maintain a high index of suspicion for delayed intrahepatic hematoma in patients with electrical injuries and polytrauma.
    • Serial imaging may be crucial for diagnosing subtle or delayed intrahepatic hematomas.
    • Understanding the pathophysiology of electrical current injury is vital for effective trauma management.