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Road traffic accident victim presented with tense and tender abdomen and deteriorating GC.
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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 hemoperitoneum.
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%.
- Haaga JR, Boll D. CT and MRI of the whole body. Mosby. (2009) ISBN:0323053750. Read it at Google Books - Find it at Amazon
2 articles feature images from this case
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