case_images: PMC11827283_01
case_images: Pretreatment imaging.. (A) Non-contrast CT scan with a bone window, (B) 30 seconds after injection of contrast medium, and (C) 80 seconds after injection of contrast medium.. Axial non-contrast CT images show two fractures of the right 11th and 12th ribs (arrowhead). Axial contrast-enhanced CT showing a retroperitoneal hematoma with active extravasation (arrow).
case_images: cureus-0017-00000078992-i01.jpg
case_images: PMC11827283_01_cureus-0017-00000078992-i01.jpg
case_images: FIG1
case_images: Contrast-enhanced CT of the torso revealed fractures of the right 11th and 12th ribs (Figure 1A), as well as retroperitoneal hemorrhage with extravasation of contrast, suggesting active vascular injury (Figures 1B, 1C).
case_images: Angiography.. Digital subtraction angiography revealed active bleeding from a right subcostal artery (circle).
case_images: cureus-0017-00000078992-i02.jpg
case_images: PMC11827283_01_cureus-0017-00000078992-i02.jpg
case_images: FIG2
case_images: Angiography revealed a right subcostal artery as the source of bleeding (Figure 2).