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RADIOLOGY: SPLEEN: Case# 61: MVA, SPLENIC RUPTURE. PANCREATIC INJURY?. 32 year old involved in MVA. There is severe splenic injury with rupture of the spleen in the superior pole. There is a large amount of free fluid within the abdomen and pelvis that has attenuation values consistent with hemorrhage. The liver has no evidence of injury. The gallbladder, kidneys, adrenal glands, bowel as well as urinary bladder are grossly unremarkable. The pancreas appears mildly edematous. There are strandy soft tissue changes throughout the peripancreatic fat. The margins of the pancreas are somewhat ill-defined. The appearance is worrisome for blunt injury to the pancreas.

Peter Anderson