Seurat spleen - blunt splenic trauma

Case contributed by Andrew Dixon

Presentation

Abdominal pain following a motor vehicle accident.

Patient Data

Age: 30 years
Gender: Male

Splenic artery angiogram

dsa

Innumerable small punctate extravasations in a traumatised spleen following motor vehicle accident.  

Post proximal splenic coil embolization seen on the second image. 

Annotated image

Innumerable small punctate extravasations in a traumatised spleen following motor vehicle accident. This angiographic appearance is often termed 'Seurat spleen' because of a likeness to the pointillistic artwork of French impressionist Georges Seurat (1859 - 1891). 

"Gray weather, Grande Jatte" by Georges Seurat, painted 1888.

Case Discussion

Innumerable small punctate contrast extravasations in a traumatised spleen following motor vehicle accident. This angiographic appearance is often termed 'Seurat spleen' because of a likeness to the artwork of French impressionist Georges Seurat (1859 - 1891) who used a pointillistic technique to create an image out of tiny dots. Proximal splenic artery embolization with coil was performed in this patient who went on to make an uneventful recovery from their splenic trauma.       

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