Presentation
MVA. Sternal fracture. Generalized abdominal tenderness.
Patient Data
Age: 55 years
Gender: Female
From the case:
Splenic cleft from diaphragmatic slip
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No traumatic injury. Small cleft on the lateral margin of the spleen is adjacent to a small diaphragmatic slip.
Case Discussion
Splenic clefts are well known to mimic a traumatic splenic laceration, but in this case is due to a small diaphragmatic slip. Alternatively clefts are more often due to the embryological development of the spleen as adjacent splenic buds (lobules) fail to completely fuse.