Blunt Abdominal Trauma Part 3 Splenic Injury short

Audience: Medical Interns and Residents: Surgery, Emergency Medicine, Radiology

Learning Objectives:
Describe the relevance of the splenic grading system
Differentiate pseudoaneurysm from active extravasation
Recommend the next step in management based on key imaging features

Summary:
Focus on vascular injury in revised scale
-Grade 4 – Contained in the spleen
-Grade 5 – Intraperitoneal bleeding
Management depends on hemodynamic stability after resuscitation
Embolization is preferred to splenectomy

[squirrel]

Can you expand on what and how a "capsular tear" is? I am struggling to find a good image or defition.

[Elyrion]

Thanks for the video! Question: the case at 8:22, how do you know it’s bleeding into the intraperitoneal cavity and not a contained subscapular hematoma. Both could have active blush right?

[giuliocasalis]

Could you explain me why is there a density enhancement on the delayed venous phase in active extravasation?

[coldmagnet]

Do you need a delayed phase to officially call it active extravasation?