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Case Studies | Radiology and Medical Imaging Sciences | India | Volume 13 Issue 5, May 2024 | Rating: 5 / 10

Spectrum of Splenic Injury in Polytrauma with Rare Mimickers Leading to Diagnostic Dilemma

Dr. Rakshith N R | Dr. Jawahar Vontivillu ^[2]

Abstract: Splenic injury is a common occurrence in polytrauma cases, presenting significant diagnostic and management challenges to clinicians. Computed Tomography (CT) remains the gold standard imaging modality for assessing splenic injury due to its high sensitivity and specificity. The presence of intraparenchymal hematoma, laceration, or vascular injury can be accurately identified using CT imaging, aiding in both diagnosis and grading of splenic injury. Moreover, CT allows for the assessment of associated injuries to other organs, which is crucial in the management of polytrauma patients. Spleen is a widely variable organ regarding its size, shape, fissures and position. Some of its variations might form a diagnostic challenge and could result in imaging pitfalls and misinterpreted as a pathological process. [1] Five cases of blunt abdominal trauma are discussed in the below case series focussing on different grades of splenic injury reported at Dr. D Y Patil hospital, Navi Mumbai. It also discusses an important mimicker of splenic laceration which is the ?Bi - partite spleen? which is an anatomical variant which may cause diagnostic dilemma in the clinical setting of trauma.

Keywords: Splenic laceration, AAST grading, Bipartite spleen

Edition: Volume 13 Issue 5, May 2024,

Pages: 1404 - 1408