Trauma to the Adrenal Gland
Trauma to the renal artery
Ans: A.) Splenic Rupture.
Image shows: Contrast-enhanced computed tomography with coronal reformation showing the ruptured spleen (arrow). Note the presence of perisplenic hematoma (asterisk) and surgical emphysema (open arrow) in the left chest wall.
- Splenic rupture should be considered in any case of blunt abdominal trauma, particularly when the injury occurs to the left upper quadrant of the abdomen.
- Features of shock (pallor, tachycardia, restlessness, hypotension), pain, tenderness and abdominal rigidity in the left upper quadrant is seen.
- Dullness in the left flank which does not shift, as the collected blood gets clotted. Dullness without shifting— Ballance’s sign.
- Plain X-ray abdomen-
- Obliteration of splenic outline
Obliteration of psoas shadow (most important feature)
Indentation of fundic gas shadow
Fracture of lower ribs
Elevation of the left side of the diaphragm
Free fluid in the abdomen between coils of intestine
- CT scan will show the type of splenic injury and its class.CT is advantageous in showing damage to the other major organs, seen within continuous cuts through the abdomen, including liver, left kidney and aorta.