Presentation
Blunt abdominal trauma.
Patient Data
Age: 8 years
Gender: Female
From the case:
Splenic laceration - AAST grade IV
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Multiple splenic lacerations up to 5 cm in depth, extending to the hilum with large areas of devascularisation involving > 25%. No active bleeding seen on postcontrast images or pseudo-aneurysm. Extensive intraperitoneal effusion (mean density = 40 HU) in keeping with a hemoperitoneum.
No other injury of the solid intra-abdominal organs.
Left pelvic kidney is noted.
Case Discussion
CT features of a splenic injury grade IV according to the AAST spleen injury.
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