Splenic laceration - AAST grade III
Citation, DOI, disclosures and case data
Chacko A, Splenic laceration - AAST grade III. Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-56818
At the time the case was submitted for publication Amit Chacko had no recorded disclosures.View Amit Chacko's current disclosures
23 Nov 2017
10 times, by 4 contributors - see full revision history and disclosures
Princess Alexandra Hospital
Knee hit the chest while playing Oztag. Left lower rib pain with severe dyspnea and vomiting.
Age: 25 years
From the case: Splenic laceration - AAST grade III
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Axial C+ arterial phase
Splenic rupture with associated moderate to large hemoperitoneum. No splenic arterial pseudoaneurysm or active contrast extravasation identified. There is rupture of the splenic capsule with splenic laceration and parenchymal hematomas 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.