• Am J Emerg Med · Jul 2014

    Case Reports

    Elongated left lobe of the liver mimicking a subcapsular hematoma of the spleen on the focused assessment with sonography for trauma exam.

    • Robert Jones, Matthew Tabbut, and Diane Gramer.
    • Department of Emergency Medicine, MetroHealth Medical Center, Cleveland, OH 44109, USA.
    • Am J Emerg Med. 2014 Jul 1;32(7):814.e3-4.

    AbstractThe focused assessment with sonography for trauma examination has assumed the role of initial screening examination for the presence or absence of hemoperitoneum in the patient with blunt abdominal trauma. Sonographic pitfalls associated with the examination have primarily been related to mistaking contained fluid collections with hemoperitoneum. We present a case in which an elongated left lobe of the liver was misdiagnosed as a splenic subcapsular hematoma. It is imperative that emergency physicians and trauma surgeons be familiar with this normal variant of the liver and its associated sonographic appearance on the perisplenic window in order to prevent nontherapeutic laparotomies or embolizations.

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