Marked congenital fissure masquerading as splenic laceration: report of a case.
A 26-year-old white woman fell from a ladder striking her back. Clinical evaluation indicated a left renal contusion with microscopic hematuria, and a liver-spleen scan suggested a splenic laceration. The patient was initially stable but evidence of ongoing blood loss forced exploratory laparotomy on the third hospital day. A large, retroperitoneal perirenal hematoma was found but the spleen was intact, with multiple marked congenital fissures. The problem of congenital fissures as a cause of abnormal spleen scan is discussed.
D000059:Accidents; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries; D008099:Liver / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries*; D013158:Splenic Diseases / Q000151:congenital* / Q000000981:diagnostic imaging