Monday, June 25, 2012


An elderly man with hypertension, hyperlipidemia, coronary artery disease, atrial fibrillation, and dementia falls out of bed and is brought in with low back and leg pain. There are no fractures on radiographs. The CT is shown above.

Challenge: Where's the bleeding?

Image shown under Fair Use.


tree said...

somewhere in the retroperitoneum... on the left side... :P

Craig Chen said...

yes :P

This is a retroperitoneal bleed, seen in elderly patients on anticoagulants or antiplatelets.

Sources: UpToDate; American Journal of Gastroenterology.