Enhanced rim around infarcted, traumatized spleen on computed tomographic scans: case report.
Computed tomography is considered a reliable imaging technique when determining the extent of splenic injury. We present the case of a patient with a traumatic infarct of the spleen detected by computed tomographic scanning of the abdomen. During laparotomy there was an infarction of the spleen from a hilar injury in addition to bleeding from the splenic vein. We conclude that ongoing bleeding from the splenic hilar vessel can lead to a rim of enhancement around the spleen from contrast material. This should be taken into account when a decision is made for nonsurgical management.
Kluger
Y
Y
Division of General Surgery (Trauma Services), Allegheny General Hospital, Pittsburgh, Pennsylvania.
Paul
D B
DB
Townsend
R N
RN
Diamond
D L
DL
D000007:Abdominal Injuries / Q000150:complications*; D000328:Adult; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D008297:Male; D011859:Radiography; D013154:Spleen / Q000293:injuries*; D013156:Splenectomy; D013159:Splenic Infarction / Q000000981:diagnostic imaging* / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000150:complications