PMC3797604_01
Enhanced CT scan of the abdomen (transverse) shows the ruptured spleen (arrow) and the perisplenic hematoma (arrowheads).
amjcaserep-14-405-g001.jpg
PMC3797604_01_amjcaserep-14-405-g001.jpg
f1-amjcaserep-14-405
Pelvic-abdominal CT showed a large perisplenic hematoma with multiple splenic lacerations (Figures 1 and 2).
MRI pelvis was showing bilateral hip joints hemoarthrosis (mainly on left side).
amjcaserep-14-405-g002.jpg
PMC3797604_01_amjcaserep-14-405-g002.jpg
f2-amjcaserep-14-405
Pelvic-abdominal CT showed a large perisplenic hematoma with multiple splenic lacerations (Figures 1 and 2).
Emergency laparotomy. Photograph demonstrating hemoperitoneum during the surgery.
amjcaserep-14-405-g003.jpg
PMC3797604_01_amjcaserep-14-405-g003.jpg
f3-amjcaserep-14-405
MRI pelvis showed bilateral hemoarthrosis in both hip joints (mainly on the left side) (Figure 3).
Emergency laparotomy. Photograph demonstrating enlarged, friable with lacerated both poles and multiple bleeding points during the surgery.
amjcaserep-14-405-g004.jpg
PMC3797604_01_amjcaserep-14-405-g004.jpg
f4-amjcaserep-14-405
Laparotomy confirmed hemoperitoneum (Figure 4), with about 1.5 L of blood-stained fluid, enlarged friable spleen with rupture of the splenic capsule on the inner surface, and active bleeding (Figures 5 and 6).
Enhanced CT scan of the abdomen (3Dtr sagittal reconstruction) shows the ruptured spleen (arrow) and the perisplenic hematoma (arrowheads).
amjcaserep-14-405-g005.jpg
PMC3797604_01_amjcaserep-14-405-g005.jpg
f5-amjcaserep-14-405
Laparotomy confirmed hemoperitoneum (Figure 4), with about 1.5 L of blood-stained fluid, enlarged friable spleen with rupture of the splenic capsule on the inner surface, and active bleeding (Figures 5 and 6).
Post-operative splenectomy specimen. Photograph demonstrates an enlarged friable spleen with a rupture of capsule on the inner surface.
amjcaserep-14-405-g006.jpg
PMC3797604_01_amjcaserep-14-405-g006.jpg
f6-amjcaserep-14-405
Laparotomy confirmed hemoperitoneum (Figure 4), with about 1.5 L of blood-stained fluid, enlarged friable spleen with rupture of the splenic capsule on the inner surface, and active bleeding (Figures 5 and 6).