Figure 2.

A heavy plywood fell on the right side of the abdomen of a 34-year-old male laborer. The patient complained of severe abdominal pain. On clinical examination, blood pressure was 110/57 mmHg and pulse rate was 66 beats/min. Point-of-care ultrasound examination (a) showed significant intraperitoneal fluid and floating fibrinous band (arrow heads). Computed tomography scan with intravenous contrast (b) confirmed the presence of liver injury (yellow arrow head). The patient was treated conservatively, but his abdomen continued to distend. Laparotomy confirmed the presence of bile leak which was successfully treated by suction drainage. K = Kidney, S = Spleen (Point-of-care ultrasound study was performed by Professor Fikri Abu-Zidan)