"Seurat spleen"
"pseudoaneurysm or AV fistulas (in ~15% of splenic trauma 4)"
"AAST splenic injury grading system"
"FAST scanning may be performed to determine the presence of free fluid"
"splenic parenchyma should be assessed in portal venous phase as the inhomogeneous splenic enhancement (zebra or psychedelic spleen) seen on the arterial phase can mimic splenic laceration/contusion; arterial phase scanning can be useful in detecting vascular injuries such as pseudoaneurysm and AV fistula 3-5"
"pseudoaneurysms and AV fistulas have a similar appearance to active haemorrhage on initial scanning but do not increase in size on delayed phases 3 and follow the blood pool"
"splenic parenchyma should be assessed in portal venous phase as the inhomogeneous splenic enhancement (zebra or psychedelic spleen) seen on the arterial phase can mimic splenic laceration/contusion; arterial phase scanning can be useful in detecting vascular injuries such as pseudoaneurysm and AV fistula 3-5"
"splenic parenchyma should be assessed in portal venous phase as the inhomogeneous splenic enhancement (zebra or psychedelic spleen) seen on the arterial phase can mimic splenic laceration/contusion; arterial phase scanning can be useful in detecting vascular injuries such as pseudoaneurysm and AV fistula 3-5"
Expected headings
"Types"
"Grading"
"Associations"
"DSA"
"Complications"
"The spleen may be injured after blunt or penetrating trauma or may be iatrogenic (e.g. colonoscopy)."
"splenic parenchyma should be assessed in portal venous phase as the inhomogeneous splenic enhancement (zebra or psychedelic spleen) seen on the arterial phase can mimic splenic laceration/contusion; arterial phase scanning can be useful in detecting vascular injuries such as pseudoaneurysm and AV fistula 3-5"
"Most splenic injuries in haemodynamically-stable patients are treated non-surgically. Splenic artery embolisation plays a major role in treating high-grade splenic injuries (both in haemodynamically-stable and -unstable patients; practice varies from institution-to-institution)."