Splenic laceration - AAST grade IV

Case contributed by Ammar Haouimi
Diagnosis certain


Blunt abdominal trauma.

Patient Data

Age: 8 years
Gender: Female

Multiple splenic lacerations up to 5 cm in depth, extending to the hilum with large areas of devascularisation involving > 25%. No active bleeding seen on postcontrast images or pseudo-aneurysm. Extensive intraperitoneal effusion (mean density = 40 HU) in keeping with a hemoperitoneum. 

No other injury of the solid intra-abdominal organs.

Left pelvic kidney is noted.

Case Discussion

CT features of a splenic injury grade IV according to the AAST spleen injury.

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