PMC6312797_01
Post-traumatic splenic hematoma with active contrast extravasation causes extrinsic compression of splenic flexure, resulting in large bowel obstruction. Computed tomography coronal sagittal section on initial presentation.
gr1.jpg
PMC6312797_01_gr1.jpg
fig0005
The CT also revealed extrinsic colonic compression by the splenic hematoma which was causing a large bowel obstruction (LBO):the obstruction had decompressed through the incompetent ileocecal valve with resultant small bowel dilatation (Fig. 1).
Abdominal x-ray reveals contrast migrating past the area of the splenic hematoma on post-splenic artery embolization day six.
gr2.jpg
PMC6312797_01_gr2.jpg
fig0010
Abdominal x-ray on post-SAE day six revealed contrast clearly migrating past the area of extrinsic compression consistent with report of normalized bowel function (Fig. 2).