Grade IV splenic injury
Car vs. car collision 60km/hr. Positive FAST - fluid around liver.
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Moderate volume of haemoperitoneum. Multiple splenic lacerations extending to the hilum with evidence of active contrast extravasation.
Periportal low attenuation within the liver in keeping with fluid resuscitation.
The remainder of the abdominal and pelvic organs are within normal limits. No pelvic bone fracture. No fracture or dislocation.
2 case questions available
FAST scans are performed by point-of-care providers (normally emergency physicians) and are used as a decision-making aid about the need for an emergent trauma laparotomy.