Elongated left lobe of the liver mimicking a subcapsular hematoma of the spleen on the focused assessment with sonography for trauma exam

Importance of Distending Stomach With Fluid for Ultrasound Detection of Focal Lesion in the Elongated Left Lobe of the Liver

“…Reports of ultrasound imaging associating with the ELLL primarily include misdiagnosis of the liver as spleen trauma. 15,16 The results of this study indicate that distending the stomach with water has practical value for enhancing the detection of focal lesion in the ELLL and reducing a false negative diagnosis.…”

“…Previous experience involves primarily the ultrasound imaging of the stomach, pancreas, the ELLL, and spleen, but there is no reference for using it for detection of focal lesion in the ELLL. Reports of ultrasound imaging associating with the ELLL primarily include misdiagnosis of the liver as spleen trauma . The results of this study indicate that distending the stomach with water has practical value for enhancing the detection of focal lesion in the ELLL and reducing a false negative diagnosis.…”

Congenital left lobe megaly of liver resembling splenic pathology: a diagnostic dilemma confirmed bySPECT-CT of liver-spleen scan

“…This variation is also termed as 'the sliver of liver'. It may be diagnosed as an incidental finding during ultrasound (4)(5)(6)(7). Although this condition is very rare, it has some important clinical implications.…”

“…It may be misdiagnosed as distension of the splenic flexure of the colon, gastrooptosis, hydatid cyst or sarcoma of liver (3). It may also be mistaken for splenomegaly due to the fact that liver & spleen show same echogenecity and density in ultrasonography and CT scan images and misdiagnosed as perisplenic / subcapsular hematoma or collections when they differ in density and echogenicity (4).…”

Focused assessment with sonography for trauma: current perspectives

“…Therefore, these spaces should be interrogated in the LUQ view of FAST. 53 Other technical pitfalls of FAST such as poor image gain, suboptimal depth and backward orientation of the transducer are often reduced with an increasing number of examinations, perhaps reflecting more experience of operators. 8 …”