Splenic injury - AAST grade V

Case contributed by Michael P Hartung ◉

Diagnosis certain

Diagnosis certain

Citation, DOI, disclosures and case data

Citation:

Hartung M, Splenic injury - AAST grade V. Case study, Radiopaedia.org (Accessed on 29 Sep 2023) https://doi.org/10.53347/rID-66883

DOI:

https://doi.org/10.53347/rID-66883

Permalink:

https://radiopaedia.org/cases/66883

rID:

66883

Disclosures:

At the time the case was submitted for publication Michael P Hartung had no recorded disclosures.

View Michael P Hartung's current disclosures

Case published:

17 Mar 2019

Revisions:

4 times, by 4 contributors - see full revision history and disclosures

Systems:

Case of the day:

16 Apr 2019

Quiz mode:

Included

Presentation

MVC.

Patient Data

Gender: Male

From the case: Splenic injury - AAST grade V

ct

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delayed"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"mphartung","case_id":66883,"case_key_image_id":47298087,"case_featured_at":"16 Apr 2019"},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}

Upper 1/3 of spleen relatively preserved. Remainder is irregular and unenhancing with active extravasation of contrast into the left paracolic gutter. Hemoperitoneum. No other injuries.

Case Discussion

Severe, complex injury of the spleen with active extravasation into the left paracolic gutter. Patient went on to have an urgent splenectomy due to the severity of injury.

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