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Kehr's sign is the occurrence of acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity when a person is lying down and the legs are elevated. Kehr's sign in the left shoulder is considered a classic symptom of a ruptured spleen.
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 ...
Kehr sign is a rare finding and should increase the suspicion of the peritoneal process and possible splenic rupture. Some patients also report pleuritic left-sided chest pain in the setting of a ruptured spleen. Caution should be used early in the evaluation of patients with a concerning mechanism of injury, since few symptoms may be present ...
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.
Kehr's sign which is referred pain to left shoulder due to ruptured spleen or blood or irritant in peritoneal cavity. Murphy's sign which is tested for during an abdominal examination; it is performed by asking the patient to breathe out and then gently placing the hand below the costal margin on the right side at the mid-clavicular line (the ...
Diagnostic peritoneal aspiration and lavage. Resuscitation (advanced trauma life support) with IV fluids (crystalloid) and blood transfusion. If patient is unstable: general or trauma surgery consultation with subsequent exploratory laparotomy. Splenic injury [24] After trauma (blunt or penetrating), abdominal pain (LUQ), left rib pain, left ...
Grey Turner's sign refers to bruising of the flanks, the part of the body between the last rib and the top of the hip.The bruising appears as a blue discoloration, [1] and is a sign of retroperitoneal hemorrhage, or bleeding behind the peritoneum, which is a lining of the abdominal cavity.
Initial management consists of immediate blood transfusion if the patient is in hemorrhagic shock. Classically, hemoperitoneum was an indication for emergency surgery to locate the source of bleeding and also to recover spilled blood from the peritoneal cavity and to use it for auto-transfusion if it has not been contaminated by ruptured bowel contents.