What is splenic contusion?
A bruise (contusion) is a type of injury. It occurs when small blood vessels break open and leak blood into nearby tissues. The spleen is a small organ located in the upper left part of the belly (abdomen). It sits under the left ribs in front of the stomach.
What is subcapsular hematoma of spleen?
Subcapsular hematoma of the spleen is a rare complication of pancreatitis despite its close proximity to the pancreas. Pancreatic pseudocyst involving the tail of the pancreas may erode into the splenic hilum causing hilar vessel bleeding with subcapsular dissection and hematoma formation.
What is splenic hematoma?
Splenic hematomas usually result from abdominal trauma or clotting disorders, or they occur in association with splenic neoplasia, such as hemangiosarcoma or lymphosarcoma. 7,8. Their location varies from intraparenchymal to subcapsular, and hemorrhage may be seen adjacent to the spleen.
What is a grade 4 splenic injury?
Grade 4 is a laceration involving a hilar or segmental blood vessel if there is partial devascularization or if it is more than 25% of the spleen. Grade 5 is either a shattered spleen or complete devascularization of the entire spleen.
How do you treat a hematoma on the spleen?
Traditional management of splenic hematomas has been primarily surgical. However, more recently, spleen-sparing management has been favored over surgical management for cases that meet certain criteria, with surgery now reserved for patients with complications.
What is a renal hematoma?
Abstract. Spontaneous subcapsular renal hematoma is a rare condition in clinical practice. It is caused by renal cysts, benign and malignant renal tumors, vascular lesions, and antiplatelet or anticoagulant therapy.
How do you treat a splenic hematoma?
Some people require immediate surgery. Others heal with rest and time. Many small or moderate-sized injuries to the spleen can heal without surgery. You’re likely to stay in the hospital while doctors observe your condition and provide nonsurgical care, such as blood transfusions, if necessary.
What is a Grade 5 spleen injury?
Grade 5 is either a shattered spleen or complete devascularization of the entire spleen. These grades often guide treatment decisions, such as if observational or operative management is chosen for the spleen injury by the treating surgeon.