April 2013

Subtle splenic abnormality and a small amount of perisplenic fluid after blunt abdominal trauma

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Clinical information

Blunt abdominal trauma.

Ultrasound Images & Clips

subtle splenic abnormality after blunt abdominal trauma

Longitudinal image of the spleen with a subtle abnormality after blunt abdominal trauma

Transverse image of the spleen

There is a small amount of fluid around the spleen

There is also some fluid around the liver

There is no blood in the lower abdomen

video

Image of the spleen of another young male patient with a blunt abdominal trauma

Transverse image of the spleen with a large perisplenic hematoma

Another longitudinal view of the splenic rupure and perisplenic hematoma

There is some blood around the liver

There is no blood in the lower abdomen

video

Conclusion

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.

Details

Sex: Male
Age: 20

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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