RADIOLOGY: ABDOMEN: Case# 33075: FRACTURED SPLEEN & SHOCK BOWEL. Young female status post MVA with delayed extraction from the vehicle and hypotension. 1. Shattered spleen with large amount of intraperitoneal blood. 2. Shocked bowel with possible duodenal hematoma. 3. Heterogenous enhancement of the uterus may be due to recenthypovolemia and is probably not the patients primary neoplasm although that is a differential consideration. 4. Numerous left rib fractures with pneumothorax and pulmonary contusion.