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RADIOLOGY: SPLEEN: Case# 34053: MESENTERIC INJURY MVA. The patient is a 24 year old male involved in motor vehicle accident with blunt abdominal trauma. 1. Linear superior splenic laceration but no other obvious injuries within the abdomen. However, there is a large amount of pelvic and abdominal blood and given the large amount of blood, much of it remote from the splenic injury, a mesenteric injury is suspected, although there is no extravasation of contrast to indicate the location. 2. Pelvic fractures as described above with right iliac fractures extending to the SI joint with SI joint and pubic symphysis diastasis. 3. No evidence of bladder injury but CT cystogram was not performed due to the patients hypotension.

Peter Anderson
radiology, spleen