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Blunt Abdominal Trauma: Emergency Contrast-Enhanced Sonography for Detection of Solid Organ Injuries

Massimo Valentino1, Carla Serra2, Gianni Zironi3, Carlo De Luca1, Pietro Pavlica4 and Libero Barozzi1

1 Emergency Department, Radiology Unit, S. Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy.
2 Internal Medicine Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
3 Emergency Department, Medicine Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
4 Radiology Department, S. Orsola-Malpighi Hospital, University of Bologna, University Hospital, Bologna, Italy.


Figure 1
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  		Fig. 1 —15-year-old girl admitted to hospital after fall. Admission sonogram shows large nonhomogeneous hyperechoic area in right lobe of liver.

 

Figure 2
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  		Fig. 2A —20-year-old man admitted to hospital after motor vehicle crash. Axial contrast-enhanced sonography scan reveals liver injury as slightly hypoechoic area surrounded by well-enhanced parenchyma.

 

Figure 3
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  		Fig. 2B —20-year-old man admitted to hospital after motor vehicle crash. Lesion was confirmed on CT.

 

Figure 4
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  		Fig. 3A —25-year-old man admitted to hospital after sustaining trauma while working (fell off scaffold). Sagittal oblique contrast-enhanced sonography scan shows large strongly hypoechoic area in center of spleen surrounded by hematoma.

 

Figure 5
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  		Fig. 3B —25-year-old man admitted to hospital after sustaining trauma while working (fell off scaffold). Lesion was confirmed on CT.

 

Figure 6
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  		Fig. 4A —32-year-old man admitted to hospital after motor vehicle crash. Sagittal oblique contrast-enhanced sonography scan shows large central hypoechoic area within spleen. Below spleen (S), absence of enhancement of kidney shown on image suggests vascular lesion of organ.

 

Figure 7
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  		Fig. 4B —32-year-old man admitted to hospital after motor vehicle crash. Axial contrast-enhanced CT scan shows vascular lesion of left kidney.

 

Figure 8
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  		Fig. 5A —32-year-old woman admitted to hospital after motor vehicle crash. Sagittal oblique contrast-enhanced sonography scan shows focal extravasation of contrast medium in large hematoma.

 

Figure 9
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  		Fig. 5B —32-year-old woman admitted to hospital after motor vehicle crash. Axial contrast-enhanced CT scan confirms presence of lesion.

 

Figure 10
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  		Fig. 6A —25-year-old man admitted to hospital after motor vehicle crash. Admission sonogram reveals hypoechoic lesion of liver.

 

Figure 11
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  		Fig. 6B —25-year-old man admitted to hospital after motor vehicle crash. Contrast-enhanced sonography scan shows enhancement of lesion and suggests diagnosis of angioma.

 

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