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Related Experiment Videos

Shared drink and a soft punch: an almost deadly combination.

Karsten Klingberg1, David Srivastava1, Simon Bosbach1

  • 1Emergency Department, University Hospital Bern, Bern, Switzerland.

BMJ Case Reports
|December 1, 2016
PubMed
Summary

Contrast-enhanced ultrasound effectively diagnosed intra-abdominal bleeding in a patient with splenomegaly from Epstein-Barr virus infection. This imaging technique identified bleeding origin after minor trauma, offering an alternative to CT scans.

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Area of Science:

  • Medical Imaging
  • Trauma Surgery
  • Infectious Diseases

Background:

  • Blunt abdominal trauma frequently causes splenic injuries, potentially leading to life-threatening hemorrhage.
  • Contrast-enhanced computed tomography (CT) is the standard diagnostic tool for evaluating splenic injury severity and guiding treatment.
  • Splenomegaly, an enlarged spleen, can complicate trauma assessment and management.

Observation:

  • A patient with splenomegaly secondary to Epstein-Barr virus infection experienced intra-abdominal bleeding after minor trauma.
  • Contrast-enhanced ultrasound (CEUS) was utilized to investigate the source of bleeding.
  • CEUS successfully identified the origin of the intra-abdominal hemorrhage.

Findings:

  • Contrast-enhanced ultrasound proved effective in pinpointing the source of intra-abdominal bleeding in a patient with traumatic splenic injury and splenomegaly.

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  • The findings suggest CEUS can be a valuable diagnostic modality in specific trauma scenarios, particularly when CT may be less accessible or indicated.

    • Implications:

    • This case highlights the potential utility of contrast-enhanced ultrasound as a diagnostic tool for intra-abdominal bleeding in patients with splenomegaly.
    • CEUS may offer a viable alternative or complementary imaging approach to contrast-enhanced CT in managing splenic trauma, especially in the context of viral infections.
    • Further research could explore the broader application of CEUS in evaluating splenic injuries across diverse patient populations and trauma severities.