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Looking beyond Morison's pouch in focused assessment with sonography for trauma: penetrating hepatobiliary trauma and a new sign for emergency physicians
  1. Gerard O'Connor,
  2. Vinny Ramiah,
  3. Tomás Breslin,
  4. John J McInerney,
  5. Eamon Brazil
  1. Emergency Department, Mater Misericordiae University Hospital, Dublin, Ireland
  1. Correspondence to Dr Gerard O'Connor, Emergency Medicine Specialist Registrar, Emergency Department, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland; geroconnor{at}

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A man presented to the emergency department with a stab wound to his right upper quadrant. His vital signs were in the normal range. Examination revealed a 1.5 cm wound at the junction of the subcostal margin and the linea semilunaris. There was localised peritonitic tenderness. Lactate was elevated at 4.3 mmol/l.


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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.