Splenic trauma (triple phase CT)

Case contributed by Dr Jeremy Jones

Presentation

Fall from 10 foot. Landed on back. Injury to right wrist.

Patient Data

Age: 12
Gender: Female
Modality: X-ray

Normal chest radiograph.

Modality: CT

Non-contrast and arterial phases. Overkill. No need for these additional phases in the traumatic patient, especially a child where radiation dose should be considered.

Modality: CT

Free fluid in the upper abdomen. Large splenic laceration. Contrast concentration focally in the spleen. It is denser than the artery. Features of a pseudoaneurysm rather than active haemorrhage.

PlayAdd to Share

Case Information

rID: 45826
Case created: 9th Jun 2016
Last edited: 22nd Nov 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.