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Traumatic rupture of the spleen on contrast enhanced axial CT (portal venous phase) Splenic hematoma resulting in free abdominal blood. Splenic rupture is usually evaluated by FAST ultrasound of the abdomen. [5] Generally this is not specific to splenic injury; however, it is useful to determine the presence of free floating blood in the ...
Blunt splenic trauma most often occurs in automobile accident victims, in which it is a leading cause of internal bleeding. However, any type of major impact directed to the spleen may cause splenic trauma. This can happen in bicycling accidents, when the handlebar is forced into the left subcostal margin, and into the spleen.
Spleen is the most common cause of massive bleeding in blunt abdominal trauma to a solid organ. Spleen is the most commonly injured organ. A laceration of the spleen may be associated with hematoma. [13] Because of the spleen's ability to bleed profusely, a ruptured spleen can be life-threatening, resulting in shock.
Causes of hemoperitoneum include: [citation needed] Penetrating trauma; Blunt trauma, most commonly injuries to solid organs such as the liver and spleen. [1] Vascular accidents, such as rupture of an abdominal aortic aneurysm, iliac aneurysm, or splenic aneurysm. Bleeding due to a ruptured ectopic pregnancy or uterine rupture.
Splenosis in the abdominal category may occur in up to 65% of traumatic ruptures of the spleen. [3] Splenosis in the thoracic cavity is rarer, because it requires the simultaneous rupture of the diaphragm. The implantation of spleen tissue under the skin may result from abdominal surgery or gunshot wounds. Splenosis of the brain or liver is ...
Splenomegaly can result in hematologic disturbances and abdominal pain and can increase the risk for splenic rupture, which also causes spleen pain, from blunt trauma, resulting in life-threatening internal bleeding. [2] Many conditions can cause splenomegaly, such as various infections, liver disease, and cancer. [2]
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[1] [2] May result from diaphragmatic or peridiaphragmatic lesions, renal calculi, splenic injury or ruptured ectopic pregnancy. [ citation needed ] Kehr's sign is a classic example of referred pain : irritation of the diaphragm is signaled by the phrenic nerve as pain in the area above the collarbone .