Splenic laceration: AAST grade III
Knee hit the chest while playing Oztag. Left lower rib pain with severe dyspnoea and vomiting.
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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.
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.