IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Splenic laceration - AAST grade II

Case contributed by Henry Knipe
Diagnosis certain

Presentation

High speed motor vehicle collision.

Patient Data

Age: 25 years
Gender: Male

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.

Left pneumothorax (partially imaged). Subcutaneous emphysema in the left lower chest wall, left abdominal wall and left inguinal region. 

Unfused L1 transverse processes. Left L3-L5 transverse process fractures. S1 and S2 posterior element fracture. 

Case Discussion

This is an example of a low-grade splenic injury that did not require any active management (e.g. splenectomy or splenic artery embolization) and the patient recovered well with conservative management only. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.