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Case Reports
. 2022 Mar;35(1):66-70.
doi: 10.20408/jti.2021.0077. Epub 2021 Dec 24.

Very large haematoma following the nonoperative management of a blunt splenic injury in a patient with preexisting liver cirrhosis: a case report

Euisung Jeong  1 , Younggoun Jo  1 , Yunchul Park  1 , Jungchul Kim  1 , Hyunseok Jang  1 , Naa Lee  1
Affiliations
Case Reports

Very large haematoma following the nonoperative management of a blunt splenic injury in a patient with preexisting liver cirrhosis: a case report

Euisung Jeong et al. J Trauma Inj. 2022 Mar.

Abstract

The spleen is the most commonly injured organ after blunt abdominal trauma. Nonoperative management (NOM) is the standard treatment for blunt splenic injuries in haemodynamically stable patients without peritonitis. Complications of NOM include rebleeding, new pseudoaneurysm formation, splenic abscess, and symptomatic splenic infarction. These complications hinder the NOM of patients with blunt splenic injuries. We report a case in which a large haemorrhagic fluid collection that occurred after angio-embolisation was resolved by percutaneous drainage in a patient with liver cirrhosis who experienced a blunt spleen injury.

Keywords: Hematoma; Spleen; Wounds and injuries.

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Conflict of interest statement

Conflicts of interest The authors have no conflicts of interest to declare.

Figures

Fig. 1.
Fig. 1.
Abdominal computed tomography of (A) axial and (B) coronal view showed a laceration injury with extravasation (arrows) of contrast material in the spleen and a large amount of haemoperitoneum. Written informed consent for the publication of the images was obtained from the patient.
Fig. 2.
Fig. 2.
(A) The angiography show active bleeding in the spleen. (B) Embolization of the splenic artery branches using micro-coils and a gelatine sponge was done. Written informed consent for the publication of the images was obtained from the patient.
Fig. 3.
Fig. 3.
Follow-up computed tomography of (A) axial and (B) coronal view after 2 weeks of hospitalization, showing a large liquefied haemorrhagic fluid collection in the left subphrenic area communicating with the splenic injury. Written informed consent for the publication of the images was obtained from the patient.
See this image and copyright information in PMC

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