Trauma - Splenic hematoma with active extravasation
Caption
72 year-old male on Eliquis presented to the ED hypotensive after a fall. He was found to have left-sided rib fractures and ecchymosis. FAST was negative for intra-abdominal free fluid, pulmonary effusion, and pneumothorax but did show a splenic hematoma with a fluid jet and swirl (seen here). IR read the CTA as no active extravasation. After describing the ultrasound images the pt was taken to IR and had splenic artery angiography which confirmed extravasation, and was subsequently embolized with resultant hemodynamic stabilization. Dr Alec Glucksman PGY-III @alecglucksman, Dr Anna Van Tuyl, Dr Norman Ng, Dr Joshua Greenstein Northwell Health - Staten Island University Hospital