Splenic laceration: AAST grade III

Case contributed by Dr Amit Chacko

Presentation

Knee hit the chest while playing Oztag. Left lower rib pain with severe dyspnoea and vomiting.

Patient Data

Age: 25 years
Gender: Male

Splenic rupture with associated moderate to large haemoperitoneum. No splenic arterial pseudoaneurysm or active contrast extravasation identified. There is rupture of the splenic capsule with splenic laceration and parenchymal haematomas measuring up to 4.5 cm in diameter through the inferior pole, consistent with a grade 3 injury.

Case Discussion

The patient was conservatively managed under general surgery with input from endocrinology and the acute pain service. After bed rest for 5 days patient was discharged from hospital.

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Case information

rID: 56818
Case created: 23rd Nov 2017
Last edited: 12th Dec 2017
Inclusion in quiz mode: Included
Institution: Princess Alexandra Hospital

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