title: Ultrasonography of the healing process during a 3-month follow-up after a splenic injury.
abstract: We present a 14-year-old boy with a grade III splenic injury due to a bicycle accident, who was treated conservatively. The boy's medical history included splenomegaly due to thalassemia. The splenic lesion was initially investigated with computed tomography (CT) and then, was followed by ultrasonography for 3 months. CT revealed a large intraparenchymal hematoma which appeared hyperechoic on ultrasonography. During follow-up, the hematoma developed a more complex echogenicity and became gradually hypoechoic. The hematoma increased in size during the first week but then, started decreasing until it eventually resolved completely. The patient had an uneventful full recovery. In this report, we discuss the ultrasonographic changes of the hematoma throughout the healing process.
authors.affiliation: Postgraduate Programme in Medical Research Methodology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
authors.forename: Vasileios
authors.identifier: 0000-0002-0284-4106
authors.initials: V
authors.lastname: Rafailidis
authors.affiliation: Department of Radiology, G. Gennimatas Hospital, Thessaloniki, Greece.
authors.forename: Dimitrios
authors.identifier: 0000-0002-0440-8885
authors.initials: D
authors.lastname: Apostolou
authors.affiliation: Department of Radiology, G. Gennimatas Hospital, Thessaloniki, Greece.
authors.forename: Christodoulos
authors.identifier: 0000-0001-6943-4542
authors.initials: C
authors.lastname: Kaitartzis
authors.affiliation: Department of Radiology, G. Gennimatas Hospital, Thessaloniki, Greece.
authors.forename: Dimitrios
authors.identifier: 0000-0002-8279-5710
authors.initials: D
authors.lastname: Rafailidis
keywords: Hematoma; Spleen; Ultrasonography