case_images: PMC5266821_01
case_images: Nonenhanced CT scan of the abdomen shows blood in the peritoneal space (white arrows).
case_images: CRIRA2017-9164749.001.jpg
case_images: PMC5266821_01_CRIRA2017-9164749.001.jpg
case_images: fig1
case_images: A multiphasic contrast-enhanced CT scan of the abdomen confirmed a large amount of intraperitoneal blood and an enlargement of the spleen caused by a subcapsular hematoma (Figure 1).
case_images: Arterial phase of contrast-enhanced CT scan depicts multiple hypervascular lesions in the spleen (black arrow) and liver (white arrow).
case_images: CRIRA2017-9164749.002.jpg
case_images: PMC5266821_01_CRIRA2017-9164749.002.jpg
case_images: fig2
case_images: The contrast-enhanced images of the CT scan (arterial and venous phase) demonstrated a heterogenous contrast enhancement of the spleen and of the liver with several hypervascular focal lesions in both organs, which then became more evident in the portal-venous phase of the CT scan (Figures 2 and 3).
case_images: Venous phase: multiple hepatic (white arrow) and splenic (black arrow) lesions.
case_images: CRIRA2017-9164749.003.jpg
case_images: PMC5266821_01_CRIRA2017-9164749.003.jpg
case_images: fig3
case_images: The contrast-enhanced images of the CT scan (arterial and venous phase) demonstrated a heterogenous contrast enhancement of the spleen and of the liver with several hypervascular focal lesions in both organs, which then became more evident in the portal-venous phase of the CT scan (Figures 2 and 3).
case_images: Venous phase: extravasation of contrast agent suggesting perisplenic bleeding (white arrow).
case_images: CRIRA2017-9164749.004.jpg
case_images: PMC5266821_01_CRIRA2017-9164749.004.jpg
case_images: fig4
case_images: An acute perisplenic bleeding could also be depicted, suggesting a splenic capsular tear (Figure 4).