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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 5, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's your diagnosis?

    I'll post the correct answer in about three days!

    DDx.jpg
     

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    J.P.C. Peper, Aug 5, 2012
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  2. lakmalDJ

    lakmalDJ Famous Member

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    this is a Splenic Laceration..there is a intraparenchymal haematoma visible..
     

    lakmalDJ, Aug 5, 2012
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  3. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    This is splenic laceration - there is subcapsular hematoma with a splenic laceration which extends from the capsule to the hilum with an intraparenchymal hematoma
     

    Gospodin Seki, Aug 5, 2012
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  4. soha azab

    soha azab Famous Member

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    the same opnion
     

    soha azab, Aug 6, 2012
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  5. beakardos

    beakardos Famous Member

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    splenic laceration
     

    beakardos, Aug 6, 2012
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  6. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Yes, this is a splenic laceration ('rupture'); a hematoma (blue arrow) and extravasation (red arrow) are visible.

    It's practically always a result of trauma. Always consider this diagnosis in a patient with low blood pressure and left upper abdominal pain.
     

    J.P.C. Peper, Aug 8, 2012
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