Presentation
Stab wound; right flank.
Patient Data
There is a linear laceration through the segment 6 of the liver. The laceration extends medially through the upper pole of the right kidney.
There is a moderate amount of hemoperitoneum.
There is no evidence of free gas. The bowel appears normal.
The rest of the abdomen is unremarkable.
There is a moderate size right effusion. No pneumothorax is seen. Right basal consolidation/contusion.
Conclusion
Linear laceration through segment 6 of the liver and the upper pole of the kidney with hemoperitoneum.
This case demonstrates how the injuries from penetrating trauma (blue arrows), can be remote from the entry wound (red arrow).
Case Discussion
Surprisingly, the majority of cases of penetrating stab wounds can be managed non-operatively, with examination shown to be accurate in deciding on cases that will require operative management.
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