case_images: PMC6312797_01
case_images: Post-traumatic splenic hematoma with active contrast extravasation causes extrinsic compression of splenic flexure, resulting in large bowel obstruction. Computed tomography coronal sagittal section on initial presentation.
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case_images: PMC6312797_01_gr1.jpg
case_images: fig0005
case_images: The CT also revealed extrinsic colonic compression by the splenic hematoma which was causing a large bowel obstruction (LBO):the obstruction had decompressed through the incompetent ileocecal valve with resultant small bowel dilatation (Fig. 1).
case_images: Abdominal x-ray reveals contrast migrating past the area of the splenic hematoma on post-splenic artery embolization day six.
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case_images: PMC6312797_01_gr2.jpg
case_images: fig0010
case_images: Abdominal x-ray on post-SAE day six revealed contrast clearly migrating past the area of extrinsic compression consistent with report of normalized bowel function (Fig. 2).