Hepatic Subcapsular Haemorrhage: Watering-can Appearance
S Garge, SN Keshava, V Moses, M Ahmed, S Jain, P Joseph
Hong Kong J Radiol 2016;19:141-4
DOI: 10.12809/hkjr1615370
We report a case of intra-abdominal bleeding from a ruptured liver tumour and a subcapsular haematoma. The characteristic ‘watering-can’ appearance indicates a poor prognosis. This appearance is due to contrast extravasation from multiple torn surface vessels secondary to the liver capsule being stripped off by the expanding subcapsular haematoma. Although the initial aim should be to ‘save the liver’ with limited embolisation, the finding of this appearance should prompt an aggressive approach to save life.
中文摘要
血管造影像「澆花噴壺」樣肝包膜下出血
S Garge, SN Keshava, V Moses, M Ahmed, S Jain, P Joseph
本文報告破裂肝腫瘤和包膜下血腫而出現腹腔出血。血管造影顯示像「澆花噴壺」表現，提示此病例預後不良。主要是由於包膜下血腫膨脹致肝包膜被扯斷繼而引發器官表面的多條血管外滲。雖然最初的醫治目標是進行有限栓塞來「救肝」，但血管造影的「澆花噴壺」影像顯示應及時進行搶救。