PMC7235943_01
Perisplenic hematoma with no evidence of pneumoperitoneum.
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A computerized tomography (CT) scan of the abdomen and pelvis with intravenous (IV) contrast demonstrated hemoperitoneum and splenic capsular rupture without contrast extravasation (Fig. 1).
Angiogram after angioembolization and coiling demonstrating abrupt cessation of blood flow in the splenic artery.
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The proximal splenic artery was coiled (Fig. 2).
PMC7235943_02
Large perisplenic hematoma.
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She presented to an outside hospital on post-colonoscopy day 17, where a CT scan of the abdomen and pelvis with IV contrast demonstrated an increase in the size of the splenic hematoma, but no contrast extravasation (Fig. 3).
Angiogram after angioembolization and coiling demonstrating cessation of blood flow in proximal splenic artery.
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After reviewing the imaging and discussing her case with interventional radiology, she underwent elective proximal splenic artery angioembolization the following day (Fig. 4).
PMC7235943_03
PMC7235943_04
Large perisplenic hematoma with dense hemorrhagic ascites in the pelvis.
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A CT scan of the abdomen and pelvis demonstrated moderate hemoperitoneum and a 1.9 cm splenic laceration with no active extravasation (Fig. 5).