Subcapsular splenic haematoma

Subcapsular splenic haematomas are a type of splenic haematoma that occurs beneath the splenic capsule.


They can occur in both traumatic and non-traumatic situations.


Radiographic features


Imaging in the portal venous phase is best for detection. CT typically shows a crescentic/lenticular perisplenic collection where attenuation values depend on the age of the haematoma. The haematoma may flatten or indent
the lateral margin of the spleen 6.

  • acute: hyperattenuating to isoattenuating 4,  then called subcapsular haemorrhage
  • subacute: iso attenuating, within 1-2 days of bleeding, CT attenuation values of splenic haematomas may be equal to or greater than that of the splenic
    parenchyma 6
  • established/chronic: hypoattenuating
Share article

Article information

rID: 17521
Tag: cases
Synonyms or Alternate Spellings:
  • Subcapsular splenic hematoma
  • Subcapsular splenic haematomas
  • Subcapsular splenic hematomas

Support Radiopaedia and see fewer ads

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.