Traumatic mesenteric and splenic injuries

Case contributed by RMH Core Conditions

Presentation

High-speed MVA. Tender and bruised RUQ.

Patient Data

Age: 55 years
Gender: Female
CT

Abdomen/Pelvis

Moderate volume of free intraperitoneal fluid, particularly around the spleen which has a small hypodense and superficial cleft posteriorly, suspicious for grade I laceration.

Patchy fat stranding and fluid is seen within the small bowel mesentery, in the region of mesenteric vessels. Small foci of higher density are seen within the fat stranding, immediately adjacent to vessels and suspicious for venous bleeding. The bowel loops themselves show no gross abnormality and there is no free gas.

Lap belt subcutaneous bruising overlies the epicentre of the mesenteric abnormality.

Case Discussion

Injuries demonstrated in this case:

  • mesenteric tear with (probable) active venous bleeding
  • grade 1 splenic laceration
PlayAdd to Share

Case information

rID: 26303
Case created: 11th Dec 2013
Last edited: 22nd May 2017
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.