Presentation
Fall from 10 feet. Landed on back. Injury to right wrist.
Patient Data
Age: 12 years
Gender: Female
From the case:
Splenic trauma (triple phase CT)
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Axial non-contrast
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.
From the case:
Splenic trauma (triple phase CT)
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Axial C+ portal venous phase
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.
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