April 2013

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

Clinical Info

Blunt abdominal trauma.

Ultrasound Images & Clips

subtle splenic abnormality after blunt abdominal trauma

subtle splenic abnormality after blunt abdominal trauma
subtle splenic 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 of the spleen in longitudinal plane
video of the spleen in transverse plane. There is a small amount of perisplenic fluid
video of Morrison's pouch
CT scan coronal plane
CT Sagittal plane
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 rupture and perisplenic hematoma
Another longitudinal view of the splenic rupture 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 of the spleen in transverse plane
video of the spleen in longitudinal plane
video of Morrison's pouch
CT scan axial plane
CT scan coronal plane

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

  • Hitachi Ultrasound System