Presentation
Multiple stab injuries to the left side.
Patient Data
Age: 30 years
Gender: Male
From the case:
Penetrating abdominal trauma (bowel and splenic injuries)
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Axial C+ arterial phase
- free intraperitoneal air noted mainly anterior to the liver surface
- multiple deep lacerations of the spleen (grade III AAST splenic Injury)
- large pericolic hematoma around the descending colon exerting mass effect with lumen
- subtle adjacent colonic wall tear
- small left hemothorax
- right lobe of liver calcific foci (incidental)
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Axial Enema
Contrast leak from the colon at the splenic flexure, indicating a perforation at this site.
From the case:
Penetrating abdominal trauma (bowel and splenic injuries)
Coronal
Black box outlines the site of contrast leak from bowel, indicating the site of perforation.
Case Discussion
At surgery, a splenectomy and left colon resection with anastomosis was performed.A diaphragmatic tear was also discovered and repaired.