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(A) Abdominal ultrasound showing hypoechoic nodular cystic area measuring 2.91 cm x 1.62 cm. (B) Indicating splenomegaly, spleen measured 12.58 cm.
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Ultrasound showed hypoechoic nodular cystic area (Figure 1A and B) and CT scan revealed hyperdense intrasplenic hematoma surrounded by hypodense subcapsular hematoma.
(A) Axial images obtained through the upper abdomen prior to contrast administration revealed hyperdense intrasplenic hematoma (white arrow) surrounded by hypodense subcapsular hematoma (black arrow). (B) Post-contrast images demonstrating splenic laceration on the superolateral aspect (marked by a black arrow) with intraperitoneal free fluid (white arrow). These findings were in line with grade 3 splenic injury.
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These findings were in line with grade 3 splenic injury (Figure 2A and B).