Blunt abdominal trauma
A car ran over the child. One day after the child became pale and anemic and received 2 units of packed RBCs.
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A hypodense laceration involves the posterior aspect of the spleen with intrasplenic hematoma. Right iliopsoas hematoma is noted from a fracture of the posterior right ilium and right side of sacral promontory. Mild free intraperitoneal fluid, mild bilateral basal pleural effusion and green stick fracture of left superior pubic ramus are also noted.
Diagnosis: Grade II splenic injury from blunt abdominal trauma
Blunt abdominal trauma can result in various degrees of splenic, hepatic and renal injuries. The injuries range from small tear or subcapsular hematoma to shattered organ and complete devascularization. Management of the patient according to the degree of involvement and patient's hemodynamic state.