Shared drink and a soft punch: an almost deadly combination

BMJ Case Rep. 2016 Nov 29:2016:bcr2016216424. doi: 10.1136/bcr-2016-216424.

Abstract

Injuries of the spleen in blunt abdominal trauma are common and can lead to fatal bleeding. The diagnostic of choice to determine severity and treatment is usually made in contrast-enhanced CT. In our case we used contrast-enhanced ultrasound to identify the origin of an intra-abdominal bleeding following a minor trauma in a patient with splenomegaly due to an Epstein-Barr virus infection.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Injuries / complications*
  • Abdominal Injuries / diagnostic imaging
  • Adolescent
  • Contrast Media
  • Epstein-Barr Virus Infections / complications*
  • Hemorrhage / diagnostic imaging*
  • Hemorrhage / diet therapy
  • Hemorrhage / etiology
  • Humans
  • Male
  • Spleen / diagnostic imaging*
  • Spleen / injuries
  • Splenomegaly / diagnostic imaging
  • Splenomegaly / etiology*
  • Treatment Outcome
  • Wounds, Nonpenetrating / complications*
  • Wounds, Nonpenetrating / diagnostic imaging

Substances

  • Contrast Media