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. 2021 May 21;41(4):E1064–E1081. doi: 10.1148/rg.2021200181

Figure 19b.

Multiple gunshot-related injuries in a 21-year-old patient who was taken to the operating room for initial exploratory laparotomy. Axial CT images reveal packing material (green arrow in a) with an open abdomen (yellow arrow in b). The image obtained after surgical exploration (b) demonstrates thickened bowel walls with hyperenhancement (red arrows), which are likely secondary to hypoperfusion. A bleeding pseudoaneurysm (blue arrow in a) in hepatic segment 7 is demonstrated, which was subsequently coil embolized (not shown). Also note segmental liver infarctions (white arrows in a) and large-volume hematoma (☆ in a). This finding (bleeding pseudoaneurysm) was not appreciated at exploratory laparotomy.

Multiple gunshot-related injuries in a 21-year-old patient who was taken to the operating room for initial exploratory laparotomy. Axial CT images reveal packing material (green arrow in a) with an open abdomen (yellow arrow in b). The image obtained after surgical exploration (b) demonstrates thickened bowel walls with hyperenhancement (red arrows), which are likely secondary to hypoperfusion. A bleeding pseudoaneurysm (blue arrow in a) in hepatic segment 7 is demonstrated, which was subsequently coil embolized (not shown). Also note segmental liver infarctions (white arrows in a) and large-volume hematoma (☆ in a). This finding (bleeding pseudoaneurysm) was not appreciated at exploratory laparotomy.