Liver, showing a traumatic rupture
GC.8524
Liver, showing a traumatic rupture.
From a male aged 14 years, who was crushed between two hutches in a coal pit. On coeliotomy the abdomen was found full of blood which had come from a torn branch of the hepatic artery. He died twelve hours after operation.
A fissure passes through the anterior and superior surfaces of the right lobe. The fissure increases in width and splits into three branches as it approaches the rounded margin separating the anterior from the superior surface and then narrows again and reaches the superior layer of the coronary ligament 1.5cm from the falciform ligament. The fissure is filled with recent blood clot and the surface in the neighbourhood is more or less stained by effusion of blood into the hepatic substance. On the inferior surface the fissure passes to the right margin of the gallbladder into the right sagittal fossa. This area and the gallbladder are deeply stained by blood effusion. Blood has also been effused between the two layers of the coronary ligament and into the right triangular ligament.
