case_images: PMC6040287_01
case_images: (a) Computed tomography (CT) performed on arrival at the hospital showing hepatic injury. (b) Enhanced CT performed on arrival at the hospital showing hepatic injury. (c) Enhanced CT performed on day 17 of hospitalization showing biloma (black arrows). (d) Enhanced CT performed on day 34 of hospitalization showing that the biloma had almost disappeared.
case_images: CRIEM2018-8283179.001.jpg
case_images: PMC6040287_01_CRIEM2018-8283179.001.jpg
case_images: fig1
case_images: Enhanced abdominal computed tomography (CT) showed a hepatic injury (abbreviated injury scale [AIS]: 4; revised trauma score [RTS]: 7.8408; probability of survival [Ps]: 0.94702; Figures 1(a)-1(b)). Transcutaneous drainage of the biloma was performed (Figure 1(c)) and the drainage tube was removed (Figure 1(d)) on days 17 and 34 of hospitalization, respectively.
case_images: PMC6040287_02
case_images: (a) Chest roentgenogram showing pulmonary contusion (dotted circle) with rib fractures (black arrows). (b and c) Chest CT showing left hemopneumothorax and pulmonary contusion with multiple rib fractures (black arrows).
case_images: CRIEM2018-8283179.002.jpg
case_images: PMC6040287_02_CRIEM2018-8283179.002.jpg
case_images: fig2
case_images: Chest roentgenography and CT showed left hemopneumothorax and pulmonary contusion with multiple rib fractures (AIS: 3; RTS: 7.55; Ps: 0.95590; Figures 2(a)-2(c)).
case_images: PMC6040287_03
case_images: (a) Roentgenogram (a) and CT (b and c) showing compression fracture of Th12 (white arrows).
case_images: CRIEM2018-8283179.003.jpg
case_images: PMC6040287_03_CRIEM2018-8283179.003.jpg
case_images: fig3
case_images: Th12 (AIS: 3; RTS: 7.8408; Ps: 0.99416; Figures 3(a)-3(c)). Conservative therapy using a medical corset was advised, and the patient was discharged on day 17 of hospitalization. Thirty-seven months after injury the patient has fully recovered.
case_images: PMC6040287_04