page_title: Splenic injury
section_title: Diagnosis
hierarchical_section_title: Splenic injury / Diagnosis
caption_attribution_description: Deutsch: Traumatische Milzruptur in der Computertomographie, axial. Portalvenöse Kontrastmittelphase. Hypodense Irregularität im unteren Anteil der Milz als Korrelat des Parenchymrisses. Bandförmiger Saum am Unterrand als Zeichen von freier Flüssigkeit / Blut.
context_page_description: A splenic injury, which includes a ruptured spleen, is any injury to the spleen. The rupture of a normal spleen can be caused by trauma, such as a traffic collision.
context_section_description: Splenic rupture is usually evaluated by FAST ultrasound of the abdomen. Generally this is not specific to splenic injury; however, it is useful to determine the presence of free floating blood in the peritoneum. A diagnostic peritoneal lavage, while not ideal, may be used to evaluate the presence of internal bleeding a person who is hemodynamically unstable.  The FAST exam typically serves to evaluate the need to perform a CT. Computed tomography with IV contrast is the preferred imaging study as it can provide high quality images of the full peritoneal cavity.
caption: Traumatic rupture of the spleen on contrast enhanced axial CT (portal venous phase)
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