1. CT scan of the abdomen demonstrates grade 4 laceration of the spleen, extending to hilum with smaller areas of laceration. Active extravasation was also noted on a different CT image. This 16-year old adolescent male presented with abdominal pain, left shoulder pain and feeling dizzy following trauma to his left side of the abdomen while wresting in the school. He had a syncopal episode while in the ED. He had sore throat 2 weeks prior to this. Splenic rupture is a rare but serious complication leading to hemorrhage, shock, and death. Incidence of rupture is highest in 2nd or 3rd week of illness. Rarely this may a first sign of IM as seen in this patient. (Photo/legend contributors: Vikas S. Shah, MD/John Amodio, MD.)
Source: Chapter 3. Infectious Diseases, Atlas of Pediatric Emergency Medicine, 2e
Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: Accessed: October 18, 2017
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