Penetrating chest and abdominal injuries

Case contributed by Dr Heather Pascoe


Stab to left posterior chest.

Patient Data

Age: 70
Gender: Male

Chest, Abdomen and Pelvis


  • Left sided haemothorax. No pneumothorax or rib fractures.
  • Left posterolateral chest wall haematoma with a focus of active bleeding.


  • Splenic laceration (AAST Grade III) with a focus of active bleeding inferomedially. 
  • Perisplenic haematoma.
  • Incidental anterior splenic calcified granuloma.
  • Small volume free fluid adjacent to the descending colon. No evidence of a laceration or haematoma.

Given the pattern of injuries, traumatic injury to the diaphragm is also present.

Case Discussion

When describing a splenic injury, it is important to describe the location (parenchymal vs subcapsular), the size of the haematoma or laceration and associated complications. Other findings to check for include active bleeding and pseudoaneurysm or arteriovenous fistula formation. 

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Case information

rID: 32883
Published: 9th Feb 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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