Abstract
Splenic injury commonly occurs following abdominal trauma and can result in severe complications and death if it goes unrecognized. The Seurat spleen is a term used to describe the angiographic appearance of splenic injury following blunt trauma, given its resemblance to the pointillistic artwork of French neo-impressionist Georges Seurat. We present a case of a 43-year-old man who presented following a motor vehicle collision and was found to have multiple punctate foci of contrast extravasation in the spleen consistent with the Seurat spleen angiographic sign. This angiographic pattern can be used as a pathognomonic sign to identify splenic injury, with early identification crucial to preventing further complications of the injury.
Highlights
Splenic injuries are some of the most common injuries secondary to abdominal trauma [1,2]
The Seurat spleen is a term used to describe the angiographic appearance of splenic injury following blunt trauma, given its resemblance to the pointillistic artwork of French neoimpressionist Georges Seurat
We present a case of a 43-year-old man who presented following a motor vehicle collision and was found to have multiple punctate foci of contrast extravasation in the spleen consistent with the Seurat spleen angiographic sign
Summary
Splenic injuries are some of the most common injuries secondary to abdominal trauma [1,2]. We present a case of a 43-year-old man who presented following an MVC and was found to have multiple punctate foci of contrast extravasation in the spleen consistent with the Seurat spleen angiographic sign. A 43-year-old-male with no known medical problems presented from an outside hospital with concern for intraabdominal hemorrhage He was in an MVC three weeks prior and presented with complaints of right upper quadrant abdominal pain, left-sided chest pain, nausea, and vomiting. Surgery was discussed with the patient, which he elected against and preferred to leave the hospital He returned to the hospital two weeks later with decreased appetite, melena, hematochezia, abdominal pain, and weakness. CT scan and angiographic images revealed worsening diffuse multifocal parenchymal perfusion abnormalities and innumerable punctate foci of contrast pooling in the spleen, compatible with high-grade splenic injury and the Seurat spleen angiographic sign (Figures 4, 5).
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