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1 results

  • Unusual case of acute onset abdominal pain: uses and limitations of medical imaging

  • Glen Bandiera, Eric Poulin
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 5 / Issue 4 / July 2003
    Published online by Cambridge University Press:
    21 May 2015, pp. 263-267
    Print publication:
    July 2003
    • Article
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  • A 28-year-old male with atraumatic abdominal pain and transient hypotension was assessed using bedside emergency department (ED) ultrasonography and contrast enhanced helical computed tomography (CT). Both tests revealed free intraperitoneal fluid, but neither detected a splenic defect. The patient subsequently underwent splenectomy for a ruptured spleen. His serology for typical viral causes was negative. This article discusses spontaneous splenic rupture, the role of imaging in diagnosis, and the limitations of ED ultrasound and contrast enhanced helical CT.