Grade 2 splenic injury

Case contributed by Marius I. Diaconescu


Status post recent abdominal trauma, please assess.

Patient Data

Age: 30 years
Gender: Female

Moderate splenomegaly. There is an ill-defined hypodense peripheral area along the superior lateral aspect of the spleen, consistent with a grade 2 AAST splenic injury.

There is no active contrast extravasation.

There is a tiny adjacent subcapsular splenic hematoma.   

Hematoma in the right thigh not completely visualized, with no active contrast extravasation.

Case Discussion

It is important to pick up a splenic trauma, because the spleen is highly vascularized, and an injury to its parenchyma or vasculature can result in significant blood loss.


acknowledgment: Dr. Maria Tsatoumas 

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