Shattered spleen

Case contributed by Dr Prashant Mudgal

Presentation

This young patient presented with tense and tender abdomen and deteriorating GC. He had h/o RTA and injury to abdomen.

Patient Data

Age: 17 year
Gender: Male
CT

The spleen is shattered and there is non-enhancement of spleen on this triple phase scan.

There is extravasation of contrast and a fracture near the hilum.

The splenic vessels are normal.

Large amount of intraperitoneal fluid collection seen suggestive of haemoperitoneum.

 

Case Discussion

The spleen is the most commonly injured visceral organ in blunt abdominal trauma. A missed splenic injury is one of the most common cause of preventable death in a patient with trauma.

CT is the modality of choice to image haemodynamically stable patients with blunt abdominal trauma with an overall diagnostic accuracy of approximately 95%.

PlayAdd to Share

Case information

rID: 26138
Case created: 1st Dec 2013
Last edited: 6th Mar 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.