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Atraumatic Hepatic Laceration with Hemoperitoneum
Gaetano Maria Russo1, Evangelia Zoi1, Imma D'Iglio1
1Ospedali Riuniti Area Nolana, 80035 Napoli, Italy.
Diagnostics (Basel, Switzerland)
|September 28, 2024
Summary
A rare case of atraumatic liver laceration with hemoperitoneum in an amyloidosis patient is detailed. Imaging revealed liver abnormalities and bleeding, highlighting a unique clinical presentation.
Area of Science:
- Hepatology
- Radiology
- Gastroenterology
Background:
- Amyloidosis is a rare condition that can affect multiple organs, including the liver.
- Atraumatic liver lacerations are uncommon, especially in the absence of known liver disease or trauma.
Purpose of the Study:
- To present a rare case of atraumatic liver laceration with hemoperitoneum in a patient with amyloidosis.
- To discuss the diagnostic imaging findings and clinical implications of this unusual presentation.
Main Methods:
- Case report detailing clinical presentation, imaging findings (ultrasound, CT scan), and diagnosis.
- Review of relevant literature on atraumatic liver injuries and amyloidosis.
Main Results:
- Imaging revealed significant hepatomegaly, heterogeneous liver density, and subcapsular hypo-dense streaks.
- Contrast-enhanced imaging demonstrated active contrast extravasation within a subhepatic fluid collection, indicative of bleeding.
- Confirmed hemoperitoneum in multiple abdominal compartments.
Conclusions:
- Atraumatic liver laceration with hemoperitoneum can occur in patients with amyloidosis.
- Advanced imaging techniques are crucial for diagnosing such rare hepatic events.
- Early recognition and management are vital for patient outcomes.

