case_images: PMC11165948_01
case_images: Chest, abdomen, and pelvic CT scan without and with IV contrast. (a) Non-contrast axial CT image shows a significant amount of dense abdominopelvic-free fluid consistent with hemoperitoneum (blue star). Multiple intraparenchymal and perisplenic hematomas (red arrows). (b)-(d) Axial, coronal, and sagittal images, respectively, show a distorted shape of the spleen with a loss of its normal appearance, replaced by multiple large intraparenchymal and perisplenic hematomas (red arrows). Multifocal areas of active extravasation are indicative of active bleeding (yellow arrows). Significant amounts of dense abdominopelvic-free fluid are consistent with hemoperitoneum (blue stars).
case_images: 10.1177_2050313X241259379-fig1.jpg
case_images: PMC11165948_01_10.1177_2050313X241259379-fig1.jpg
case_images: fig1-2050313X241259379
case_images: The decision was to do a chest, abdomen, and pelvic computed tomographic scan with IV contrast (Figure 1), which revealed a grade 5 splenic injury according to the American Association for the Surgery of Trauma Splenic Injury Scale (Table 1).
case_images: Intraoperative images of the spleen.
case_images: 10.1177_2050313X241259379-fig2.jpg
case_images: PMC11165948_01_10.1177_2050313X241259379-fig2.jpg
case_images: fig2-2050313X241259379
case_images: He was admitted emergently to the operating room, and a splenectomy was done through a midline laparotomy (Figure 2), and bleeding was initially controlled by packing the spleen, then by clamping the splenic vessels at the hilum, then by proceeding to splenectomy.
case_images: A three microscopic images of the splenic rupture in 4x resolution.. The spleen shows capsular laceration in microscopic morphology. Prominent parenchymal hemorrhage is present. The surrounding spleen is unremarkable, with maintained white pulp and slightly congested red pulp.
case_images: 10.1177_2050313X241259379-fig3.jpg
case_images: PMC11165948_01_10.1177_2050313X241259379-fig3.jpg
case_images: fig3-2050313X241259379