Surgery and/or IR consult
Ruptured<unk>  requires emergent laparotomy or endovascular intervention
Splenic artery aneurysm
Calcified left adrenal haematoma
Splenic infarction
Other causes of hemoperitoneum if ruptured
Mesenteric vein thrombosis
Ruptured ectopic pregnancy
Superior mesenteric artery syndrome
Abdominal aortic aneurysm