Ultrasound Pictures Intraorgan Bleeding
Clinical manifestations Intraorgan Bleeding: Acute pain, usually localized, with pain-induced shock symptoms; peritoneal irritation; occasional hemorrhagic shock, depending on the severity of the bleeding.
Diagnosis Intraorgan Bleeding :
x History, physical examination
x Laboratory tests: Simple blood count, coagulation status
x Sonography: Preliminary examination followed by scans at the site of greatest
pain
x History, physical examination
x Laboratory tests: Simple blood count, coagulation status
x Sonography: Preliminary examination followed by scans at the site of greatest
pain
Sonographic findings:
x Hypoechoic mass within an organ (fresh blood is anechoic to hyperechoic; an
older hematoma is echogenic or complex)
x The affected organ is usually enlarged.
x Hypoechoic mass within an organ (fresh blood is anechoic to hyperechoic; an
older hematoma is echogenic or complex)
x The affected organ is usually enlarged.
Accuracy of sonographic diagnosis: A confident diagnosis can be made when
sonographic findings are interpreted in the context of clinical findings. The sonographic picture is typical. Additional imaging studies such as CT can support the
sonographic findings are interpreted in the context of clinical findings. The sonographic picture is typical. Additional imaging studies such as CT can support the
Bleeding from hepatic metastases appears as a sharply circumscribed, hypoechoic mass (cursors) in the liver following an episode of acute pain with shock symptoms.
diagnosis , which is established by percutaneous asp iration and drainage (unless
contraindicated).
contraindicated).
“Upper Abdominal Pain Intraorgan Bleeding”
“ULTRASOUND PICTURES of Intraorgan Bleeding”
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