Splenic Avulsion and Bleeding Shown on Radiocolloid Images

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Abstract
A case is discussed of a man who presented with trauma to the chest and abdomen. A radiocolloid image showed uptake by the liver. However, the spleen was not identified. Areas of activity outside of the spleen were noted. The patient had splenic avulsion; extra sites of activity likely represented bleeding sites in the abdomen. Failure to identify the spleen on a radiocolloid image, after trauma, should be an altering sign to possible splenic avulsion (especially when there are also ectopic sites of accumulation of the radiocolloid).

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