PMC5266821_01
Nonenhanced CT scan of the abdomen shows blood in the peritoneal space (white arrows).
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A multiphasic contrast-enhanced CT scan of the abdomen confirmed a large amount of intraperitoneal blood and an enlargement of the spleen caused by a subcapsular hematoma (Figure 1).
Arterial phase of contrast-enhanced CT scan depicts multiple hypervascular lesions in the spleen (black arrow) and liver (white arrow).
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The contrast-enhanced images of the CT scan (arterial and venous phase) demonstrated a heterogenous contrast enhancement of the spleen and of the liver with several hypervascular focal lesions in both organs, which then became more evident in the portal-venous phase of the CT scan (Figures 2 and 3).
Venous phase: multiple hepatic (white arrow) and splenic (black arrow) lesions.
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The contrast-enhanced images of the CT scan (arterial and venous phase) demonstrated a heterogenous contrast enhancement of the spleen and of the liver with several hypervascular focal lesions in both organs, which then became more evident in the portal-venous phase of the CT scan (Figures 2 and 3).
Venous phase: extravasation of contrast agent suggesting perisplenic bleeding (white arrow).
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An acute perisplenic bleeding could also be depicted, suggesting a splenic capsular tear (Figure 4).