April 2013

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

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
Longitudinal image of the spleen with a subtle abnormality after blunt abdominal trauma
Transverse image of the spleen
Transverse image of the spleen
There is a small amount of fluid around the spleen
There is a small amount of fluid around the spleen
There is also some fluid around the liver
There is also some fluid around the liver
There is no blood in the lower abdomen
There is no blood in the lower abdomen
video
video
video
CT
CT
Image of the spleen of another young male patient with a blunt abdominal trauma
Image of the spleen of another young male patient with a blunt abdominal trauma
Transverse image of the spleen with a large perisplenic hematoma
Transverse image of the spleen with a large perisplenic hematoma
Another longitudinal view of the splenic rupure and perisplenic hematoma
Another longitudinal view of the splenic rupure and perisplenic hematoma
There is some blood around the liver
There is some blood around the liver
There is no blood in the lower abdomen
There is no blood in the lower abdomen
video
video
video
CT
CT

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

Created with

  • Fujifilm Ultrasound System