TY  - JOUR
T1  - IMage of the month—quiz case
AU  - Propper BW, Lundy JB, Tyner RP, Rasmussen TE
Y1  - 2010/11/15
N1  - 10.1001/archsurg.2010.244-a
JO  - Archives of Surgery
SP  - 1125
EP  - 1125
VL  - 145
IS  - 11
N2  - 
At our institution, the patient had a Glasgow Coma Scale score of 15 and a systolic blood pressure of 70 mm Hg, which improved after crystalloid infusion. Abdominal examination revealed percussion tenderness consistent with peritonitis. Laboratory results revealed an elevated white blood cell count. Abdominal computed tomography revealed a 24 × 18-cm abnormality in segments VI and VII with evidence of metallic coils in a branch of the right hepatic artery (Figure 1and Figure 2). It was presumed that these coils were remnants from the management of the blunt hepatic injury sustained a month prior. In the presence of sepsis with hypotension and physical examination findings confirming peritonitis, an urgent exploratory midline laparotomy was performed following administration of antibiotics and a brief crystalloid resuscitation.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.2010.244-a
UR  - http://dx.doi.org/10.1001/archsurg.2010.244-a
ER  -