MARKED CONGENITAL FISSURE MASQUERADING AS SPLENIC LACERATION - REPORT OF A CASE

  • 1 January 1981
    • journal article
    • research article
    • Vol. 22  (2) , 151-152
Abstract
A 26 yr old white woman fell from a ladder striking her back. Clinical evaluation indicated a left renal contusion with microscopic hematuria. A liver-spleen scan suggested a splenic laceration. The patient was initially stable but evidence of ongoing blood loss forced exploratory laparotomy on the 3rd hospital day. A large, retroperitoneal perirenal hematoma was found but the spleen was intact, with multiple marked congenital fissures. The problem of congenital fissures as a cause of abnormal spleen scan was discussed.

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