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 years
Gender: Female
X-ray

Normal chest radiograph.

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.

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.

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Case information

rID: 45826
Case created: 9th Jun 2016
Last edited: 2nd Oct 2017
Inclusion in quiz mode: Included

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