Emergency Body CT > Trauma > Spleen


The spleen is the most commonly injured abdominal organ, occurring in approximately 25% of all patients with abdominal trauma evaluated by CT. Splenic injury can sometimes present as tenderness on palpation of the left upper quadrant (50-60% incidence) or as hypotension (30% incidence). Contrast enhanced CT has shown a 95% sensitivity for diagnosing splenic injury and for this reason has become the method of choice in evaluating patients with blunt trauma to the spleen.

Grade 3 splenic laceration with active bleeding (arrows).


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