PMC10010872_01
Large volume hemoperitoneum with active contrast extravasation from splenic artery on abdominal CT angiogram.
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fig1
CT angiogram demonstrated a large left upper quadrant intraperitoneal and retroperitoneal haematoma with dense peritoneal free fluid consistent with hemoperitoneum (Figure 1).
Splenic artery aneurysm with active contrast blush on abdominal CT angiogram.
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A splenic artery aneurysm at least 28 mm x 16 mm was seen with active contrast extravasation (Figure 2).
CT angiogram confirming adequate collateral perfusion of the spleen 3 weeks post-laparotomy.
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fig3
Three weeks postoperatively, the patient remained well and underwent surveillance CT angiogram, which confirmed ongoing sufficient collateral perfusion of the spleen and viability of the organ, with a resolving peri-splenic haematoma also seen (Figure 3).