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Splenic laceration without coil embolization

Herzog LBH - MedPix

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Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Splenic laceration without coil embolization

History: 20 yo male mountain biking accident victim with a chief complain of abdominal pain.

Findings: CT demonstrates parenchymal splenic injuries and may demonstrate active extravasation of contrast if active hemorrhage is present. Fluid densities within the dependent portions of the peritoneal cavity are often seen. Angiography may demonstrate active hemorrhage and or mass effect secondary to adjacent hematoma causing compression. Active hemorrhage would warrant proximal coil embolization to improve hemodynamic status.

Ddx: Splenic laceration with or without frank hemorrhage, other visceral trauma with subsequent peritoneal fluid collections.

Dxhow: Imaging

No MeSH data available.


Helical axial CT with IV contrast demonstrates a jagged defect with middle of the splenic parenchyma adjacent a extending peripherally through the capsule.  Associated fluid densities are seen adjacent to the liver and spleen consistent with intraperitoneal hemorrhage.  Active extravasation of contrast is not present in this hemodynamically stable patient.
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MPX1844_synpic20208: Helical axial CT with IV contrast demonstrates a jagged defect with middle of the splenic parenchyma adjacent a extending peripherally through the capsule. Associated fluid densities are seen adjacent to the liver and spleen consistent with intraperitoneal hemorrhage. Active extravasation of contrast is not present in this hemodynamically stable patient.


Splenic laceration without coil embolization

Herzog LBH - MedPix

Helical axial CT with IV contrast demonstrates a jagged defect with middle of the splenic parenchyma adjacent a extending peripherally through the capsule.  Associated fluid densities are seen adjacent to the liver and spleen consistent with intraperitoneal hemorrhage.  Active extravasation of contrast is not present in this hemodynamically stable patient.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1844&req=5

MPX1844_synpic20208: Helical axial CT with IV contrast demonstrates a jagged defect with middle of the splenic parenchyma adjacent a extending peripherally through the capsule. Associated fluid densities are seen adjacent to the liver and spleen consistent with intraperitoneal hemorrhage. Active extravasation of contrast is not present in this hemodynamically stable patient.

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Splenic laceration without coil embolization

History: 20 yo male mountain biking accident victim with a chief complain of abdominal pain.

Findings: CT demonstrates parenchymal splenic injuries and may demonstrate active extravasation of contrast if active hemorrhage is present. Fluid densities within the dependent portions of the peritoneal cavity are often seen. Angiography may demonstrate active hemorrhage and or mass effect secondary to adjacent hematoma causing compression. Active hemorrhage would warrant proximal coil embolization to improve hemodynamic status.

Ddx: Splenic laceration with or without frank hemorrhage, other visceral trauma with subsequent peritoneal fluid collections.

Dxhow: Imaging

No MeSH data available.