Hepatic Subcapsular Haemorrhage: Watering-Can Appearance

We report a case of intra-abdominal bleeding from a ruptured liver tumour and a subcapsular haematoma. The characteristic 'watering-can' appearance indicates a poor prognosis. This appearance is due to contrast extravasation from multiple torn surface vessels secondary to the liver capsule being stripped off by the expanding subcapsular haematoma. Although the initial aim should be to 'save the liver' with limited embolisation, the finding of this appearance should prompt an aggressive approach to save life.