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
From the case:
Subcapsular splenic hematoma
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Ultrasound has shows a large mostly hypoechoic subcapsular splenic collection.
From the case:
Subcapsular splenic hematoma
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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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