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Splenic laceration without coil embolization

Herzog LBH - MedPix

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.


Multiple images with selective catheterization of the splenic artery demonstrate no active hemorrhage with decrease perfusion superiorly secondary to compressive effects of the overlying hematoma.  No coil embolization was performed and the patient improved with conservative monitoring only.
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MPX1844_synpic20212: Multiple images with selective catheterization of the splenic artery demonstrate no active hemorrhage with decrease perfusion superiorly secondary to compressive effects of the overlying hematoma. No coil embolization was performed and the patient improved with conservative monitoring only.


Splenic laceration without coil embolization

Herzog LBH - MedPix

Multiple images with selective catheterization of the splenic artery demonstrate no active hemorrhage with decrease perfusion superiorly secondary to compressive effects of the overlying hematoma.  No coil embolization was performed and the patient improved with conservative monitoring only.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1844_synpic20212: Multiple images with selective catheterization of the splenic artery demonstrate no active hemorrhage with decrease perfusion superiorly secondary to compressive effects of the overlying hematoma. No coil embolization was performed and the patient improved with conservative monitoring only.

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.