CTICasesIntercostal Artery Laceration with Active Bleeding
Imaging findings
CT in a trauma patient shows a large left hemothorax and extrapleural hematoma. A sharp, displaced rib fracture fragment is seen adjacent to the intercostal groove, with active extravasation of IV contrast representing intercostal artery laceration.
Key takeaways
Displaced rib fractures can lacerate adjacent intercostal arteries, leading to life-threatening hemothorax. Gated or angiographic phase CT is essential for demonstrating active contrast extravasation, which can be managed with transcatheter coil or gel foam embolization.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Breast Radiation-Associated Organizing PneumoniaIatrogenic
- Scleroderma-Associated UIP with Exuberant HoneycombingILD
- ProtectDuo Right Ventricular Assist DeviceIatrogenic
- Retained Jugular Needle Fragments from IV Drug AbuseInfection
- Extruded Vertebroplasty Cement in the Azygos VeinIatrogenic
- Posterior Mediastinal GanglioneuromaNeoplastic
- Cardiac Bronchus with Accessory LobeCongenital
- Pulmonary Venous Infarction due to Sarcoma CompressionNeoplastic
See all cases from July 30, 2020 →