Traumatic rupture of the spleen on contrast enhanced axial CT (portal venous phase) Splenic hematoma resulting in free abdominal blood Splenic rupture is usually evaluated by FAST ultrasound of the abdomen. Generally this is not specific to<unk> ; 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 scan. Computed tomography with IV contrast is the preferred imaging study as it can provide high quality images of the full peritoneal cavity. Organ injury scale American Association for the Surgery of Trauma Organ Injury Scaling:<unk>  Grading +<unk>  scale classification Grade Subcapsular hematoma Laceration I 50% surface area or expanding >3-cm parenchymal depth IV Major devascularization (>25% of spleen) V Completely shattered spleen
Splenic injury
Pancreatic injury
Splenic infarction
Blunt splenic trauma
Biliary injury
Intestinal ischemia
Intersection syndrome
Majeed syndrome