clearly showing the posttraumatic laceration as an oblong area of missing parenchymal opacification with internal pooling of hyperechoic contrast material ( active hemorrhage ) .
Contrast enhanced CT remains the gold standard in the detection of parenchymal injuries in all cases of hight energy multitrauma .
Contrast-enhanced sonography is a technique diagnostics extremely valid for the detection of solid organ injuries could be employed in not haemodynamically stable patients, in patients with contraindications to the examination TC or in the follow-up of lesions in patients not operated.
Guidelines for contrast enhanced ultrasound European Federation of Societies for Ultrasound in Medicine and Biology ( EFSUMB ) recommended CEUS in addition to FAST and US in the evaluation of traumatic parenchymal injuries to the liver , spleen , and kidneys.
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EFSUMB Study Group ey al: Guidelines and good clinical practice recommendations for Contrast Enhanced Ultrasound ( CEUS ) Update 2008; Ultraschall in Med 2008; 29:28–44
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