Splenic cleft from diaphragmatic slip

Case contributed by Craig Hacking


MVA. Sternal fracture. Generalized abdominal tenderness.

Patient Data

Age: 55 years
Gender: Female

No traumatic injury. Small cleft on the lateral margin of the spleen is adjacent to a small diaphragmatic slip.

Case Discussion

Splenic clefts are well known to mimic a traumatic splenic laceration, but in this case is due to a small diaphragmatic slip. Alternatively clefts are more often due to the embryological development of the spleen as adjacent splenic buds (lobules) fail to completely fuse.

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