{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:26:57Z","timestamp":1760146017138,"version":"build-2065373602"},"reference-count":3,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2024,9,21]],"date-time":"2024-09-21T00:00:00Z","timestamp":1726876800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Introduction: A rare case of atraumatic liver laceration associated with hemoperitoneum is presented in a patient with amyloidosis who came to the hospital for abdominal pain. Case Presentation: The imaging findings reveal significant hepatomegaly with finely heterogeneous hepatic density and subcapsular hypo-dense streaks in segments VI and VII, likely representing lesions. Post-contrast enhancement shows a punctiform contrast medium extravasation within the subhepatic fluid collection, visible from the arterial phase and intensifying in subsequent study phases. Discussion: These imaging findings suggest an atraumatic hepatic laceration, a diagnosis confirmed by the presence of hemoperitoneum distributed bilaterally under the diaphragm, in the paracolic gutters, along the mesentery root, and predominantly in the peri-hepatic region. Conclusion: The detailed imaging analysis provided critical insights into the diagnosis and management of this rare clinical presentation.<\/jats:p>","DOI":"10.3390\/diagnostics14182088","type":"journal-article","created":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T04:45:28Z","timestamp":1727066728000},"page":"2088","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Atraumatic Hepatic Laceration with Hemoperitoneum"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2445-3317","authenticated-orcid":false,"given":"Gaetano Maria","family":"Russo","sequence":"first","affiliation":[{"name":"Ospedali Riuniti Area Nolana, 80035 Napoli, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evangelia","family":"Zoi","sequence":"additional","affiliation":[{"name":"Ospedali Riuniti Area Nolana, 80035 Napoli, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imma","family":"D\u2019Iglio","sequence":"additional","affiliation":[{"name":"Ospedali Riuniti Area Nolana, 80035 Napoli, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Luisa","family":"Mangoni di Santo Stefano","sequence":"additional","affiliation":[{"name":"Ospedali Riuniti Area Nolana, 80035 Napoli, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,21]]},"reference":[{"key":"ref_1","first-page":"1385","article-title":"Spontaneous rupture of the liver in amyloidosis","volume":"92","author":"Bujanda","year":"1997","journal-title":"Am. J. Gastroenterol."},{"key":"ref_2","first-page":"96","article-title":"Amyloidosis and Spontaneous Liver Bleeding: A Case Report and Literature Review","volume":"7","author":"Huang","year":"2019","journal-title":"J. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e232448","DOI":"10.1136\/bcr-2019-232448","article-title":"Spontaneous hepatic rupture due to primary amyloidosis","volume":"12","author":"Nasser","year":"2019","journal-title":"BMJ Case Rep."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/18\/2088\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:01:23Z","timestamp":1760112083000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/18\/2088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,21]]},"references-count":3,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["diagnostics14182088"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics14182088","relation":{},"ISSN":["2075-4418"],"issn-type":[{"type":"electronic","value":"2075-4418"}],"subject":[],"published":{"date-parts":[[2024,9,21]]}}}