Subcapsular splenic hematoma

Case contributed by Dr Fatima Abduyeva

Presentation

The patient presented with a 7 day history of dull mild-to-moderate nonprogressive left abdominal flank pain after trauma, predominantly in the left hypochondrium. In the week following the trauma, she led a normal lifestyle, doing heavy physical work. On physical examination, she was hemodynamically stable and afebrile.

Patient Data

Age: 50 years
Gender: Female
Ultrasound

Ultrasound has shows a large mostly hypoechoic subcapsular splenic collection.

CT

The collection was confirmed on CT and considered grade III (> 50% surface area) by AAST Spleen Trauma Classification.

Case Discussion

This is an atypical presentation of splenic injury: a large splenic hematoma presenting with low grade symptoms. 

The patient underwent splenectomy. 

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Case information

rID: 70268
Published: 18th Aug 2019
Last edited: 19th Aug 2019
Inclusion in quiz mode: Included
Institution: lplus clinic

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