case_images: PMC10010872_01
case_images: Large volume hemoperitoneum with active contrast extravasation from splenic artery on abdominal CT angiogram.
case_images: CRIS2023-5738806.001.jpg
case_images: PMC10010872_01_CRIS2023-5738806.001.jpg
case_images: fig1
case_images: CT angiogram demonstrated a large left upper quadrant intraperitoneal and retroperitoneal haematoma with dense peritoneal free fluid consistent with hemoperitoneum (Figure 1).
case_images: Splenic artery aneurysm with active contrast blush on abdominal CT angiogram.
case_images: CRIS2023-5738806.002.jpg
case_images: PMC10010872_01_CRIS2023-5738806.002.jpg
case_images: fig2
case_images: A splenic artery aneurysm at least 28 mm x 16 mm was seen with active contrast extravasation (Figure 2).
case_images: CT angiogram confirming adequate collateral perfusion of the spleen 3 weeks post-laparotomy.
case_images: CRIS2023-5738806.003.jpg
case_images: PMC10010872_01_CRIS2023-5738806.003.jpg
case_images: fig3
case_images: Three weeks postoperatively, the patient remained well and underwent surveillance CT angiogram, which confirmed ongoing sufficient collateral perfusion of the spleen and viability of the organ, with a resolving peri-splenic haematoma also seen (Figure 3).