This 56 y/o male presented to the ER with hypotension and abdominal pain after a fall. Selected CT images during the rapid infusion of IV contrast shown above demonstrate traumatic splenic rupture with arterial bleeding. Hemodynamic instability led to splenectomy.
  1. Becker CD, Spring P, Glattli A, Schweizer W. Blunt splenic trauma in adults: can CT findings be used to determine the need for surgery? AJR Am J Roentgenol 1994 Feb;162(2):343-7 PMID:8310923
  2. Shanmuganathan K, Mirvis SE, Boyd-Kranis R, Takada T, Scalea TM. Nonsurgical management of blunt splenic injury: use of CT criteria to select patients for splenic arteriography and potential endovascular therapy. Radiology 2000 Oct;217(1):75-82 PMID:11012426
  3. Starnes S, Klein P, Magagna L, Pomerantz R. Computed tomographic grading is useful in the selection of patients for nonoperative management of blunt injury to the spleen. Am Surg 1998 Aug;64(8):743-8; discussion 748-9 PMID:9697904
  4. Federle MP, Courcoulas AP, Powell M, Ferris JV, Peitzman AB. Blunt splenic injury in adults: clinical and CT criteria for management, with emphasis on active extravasation. Radiology 1998 Jan;206(1):137-42 PMID:9423663
  5. Williams RA, Black JJ, Sinow RM, Wilson SE. Computed tomography-assisted management of splenic trauma. Am J Surg 1997 Sep;174(3):276-9 PMID:9324136
  6. Gavant ML, Schurr M, Flick PA, Croce MA, Fabian TC, Gold RE. Predicting clinical outcome of nonsurgical management of blunt splenic injury: using CT to reveal abnormalities of splenic vasculature. AJR Am J Roentgenol 1997 Jan;168(1):207-12 PMID:8976947
    Comment in: AJR Am J Roentgenol. 1999 Sep;173(3):855-6.
  7. Shapiro MJ, Krausz C, Durham RM, Mazuski JE. Overuse of splenic scoring and computed tomographic scans. J Trauma 1999 Oct;47(4):651-8 PMID:10528598
  8. Delgado Millan MA, Deballon PO. Computed tomography, angiography, and endoscopic retrograde cholangiopancreatography in the nonoperative management of hepatic and splenic trauma. World J Surg 2001 Nov;25(11):1397-402 PMID:11760741
  9. Patten RM, Gunberg SR, Brandenburger DK, Richardson ML. CT detection of hepatic and splenic injuries: usefulness of liver window settings. AJR Am J Roentgenol 2000 Oct;175(4):1107-10 PMID:11000174
  10. Urban BA, Fishman EK. Helical CT of the spleen. AJR Am J Roentgenol 1998 Apr;170(4):997-1003 PMID:9530050
  11. Thaemert BC, Cogbill TH, Lambert PJ. Nonoperative management of splenic injury: are follow-up computed tomographic scans of any value? J Trauma 1997 Nov;43(5):748-51 PMID:9390484
  12. Allins A, Ho T, Nguyen TH, Cohen M, Waxman K, Hiatt JR. Limited value of routine followup CT scans in nonoperative management of blunt liver and splenic injuries. Am Surg 1996 Nov;62(11):883-6 PMID:8895706
  13. Lawson DE, Jacobson JA, Spizarny DL, Pranikoff T. Splenic trauma: value of follow-up CT. Radiology 1995 Jan;194(1):97-100 PMID:7997589

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