Splenic laceration (AAST grade II)
High speed motor vehicle collision.
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2.6 cm long splenic laceration not involving the hilum with a small volume of perisplenic free fluid. No pseudoaneurysm. Liver, pancreas, gallbladder, kidneys and adrenal glands all appear uninjured.
Unfused L1 transverse processes. Left L3-L5 transverse process fractures. S1 and S2 posterior element fracture.
This is an example of a low-grade splenic injury that did not require any active management (e.g. splenectomy or splenic artery embolisation) and the patient recovered well with conservative management only.