Subcapsular splenic hematoma

Case contributed by Fatima Abduyeva , 11 Aug 2019
Diagnosis certain
Changed by Matt A. Morgan, 18 Aug 2019

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Age changed from 47 y.o. to 50 years.
Presentation was changed:
A 47-year-old womanThe patient presented with a 7 days day history of dull mild to moderate-to-moderate nonprogressive left abdominal flank pain after trauma, predominantly in the left hypochondrium, after hitting by. In the window frame while cleaning window. Within a week sincefollowing the trauma, she led a normal lifestyle, doing heavy physical work. On physical examination, she was hemodynamically stable and afebrile.
Body was changed:

This case is interesting byan atypical presentation of splenic injury: a relatively long-term persisting large splenic hematoma presenting with low grade symptoms. 

The patient underwent splenectomy. 

  • -<p>This case is interesting by a relatively long-term persisting large splenic hematoma with low grade symptoms. </p><p> </p>
  • +<p>This is an atypical presentation of <a href="/articles/splenic-trauma">splenic injury</a>: a large splenic hematoma presenting with low grade symptoms. </p><p>The patient underwent splenectomy. </p>

Updates to Study Attributes

Modality was set to CT.
Findings was added:

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

Images Changes:

Image CT (non-contrast) ( update )

Perspective changed from Transverse to Axial.
Specifics was set to non-contrast.

Image CT (non-contrast) ( update )

Perspective changed from Transverse to Axial.
Specifics was set to non-contrast.

Image 1 CT (non-contrast) ( update )

Position was set to .

Image 2 CT (non-contrast) ( update )

Position was set to .

Updates to Study Attributes

Findings was changed:

Ultrasound has shownshows a hugelarge mostly hypoechoic subcapsular splenic hematoma of grade III (> 50% surface area) by AAST Spleen Trauma Classification, which then had been confirmed on CTcollection. The patient underwent splenectomy. 

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