IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Splenic trauma (triple phase CT)

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

Fall from 10 feet. 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 hemorrhage.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.