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Case of the Month

April 2013

Patient Data: 20 year old male trauma patient

Clinical Info: Blunt abdominal trauma


48731-Afbeelding1.jpg
subtle splenic abnormality after blunt abdominal trauma


48732-Afbeelding2.jpg
Transverse image of the spleen


48733-Afbeelding3.jpg
There is a small amount of fluid around the spleen


48734-Afbeelding4.jpg
There is also some fluid around the liver


48735-Afbeelding5.jpg
There is no blood in the lower abdomen


48739-5663954_20120630__0021.swf video of the spleen in longitudinal plane


48737-5663954_20120630__0009.swf video of the spleen in transverse plane. There is a small amount of perisplenic fluid


48738-5663954_20120630__0011.swf video of Morrison's pouch


48740-small_splenic_rupture_2a.swf CT scan coronal plane


48741-small_splenic_rupture_3.swf CT Sagittal plane


48742-Afbeelding6.jpg
Image of the spleen of another young male patient with a blunt abdominal trauma


48743-Afbeelding7.jpg
Transverse image of the spleen with a large perisplenic hematoma


48744-Afbeelding8.jpg
Another longitudinal view of the splenic rupture and perisplenic hematoma


48745-Afbeelding9.jpg
There is some blood around the liver


48752-Afbeelding10.jpg
There is no blood in the lower abdomen


48747-8509107_20120706__0025.swf video of the spleen in transverse plane


48748-8509107_20120706__0026.swf video of the spleen in longitudinal plane


48749-8509107_20120706__0035.swf video of Morrison's pouch


48750-large_splenic_rupture_1.swf CT scan axial plane


48751-large_splenic_rupture_2.swf CT scan coronal plane

Both patients had splenic ruptures. The first patient had a small one and was conservatively treated.The second patient had severe blood loss and was surgically treated with a splenectomy. In the acute phase small splenic ruptures can be easily missed. Blood in the peritoneal cavity is often a first sign. The blood is not always located in Douglas pouch especially in supine patients

For more traumatic splenic lesions see

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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