PMC4802200_01
Large sub capsular grade III splenic hematoma (102 x 131 x 140 mm) causing medial organ displacement with consensual haemoperitoneum. No signs of active parenchymal bleeding are appreciable on CT imaging (blush-sign).
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Urgent abdominal CT scan demonstrated a large grade III sub-capsular splenic hematoma, suspicious capsule laceration, haemoperitoneum, and no evidence of pneumoperitoneum (Fig. 1).