Presentation
Status post recent abdominal trauma, please assess.
Patient Data
Age: 30 years
Gender: Female
From the case:
Grade 2 splenic injury
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Axial C+ portal venous phase
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