A 33 year old woman is hit in the left lower chest with a high speed hockey ball. She has moderate pain and some postural hypotension and tachycardia. FAST demonstrates a splenic laceration and rupture with free fluid, she has a CT and proceeds for embolisation.
Splenic trauma may result from blunt or penetrating abdominal injury. The spleen is the most commonly injured organ in blunt abdominal trauma
A 22 year old male presents 1 week post football injury to his left upper quadrant. He complains of abdominal pain, presyncope on standing and is pale and tachycardic although maintaining a normal blood pressure.