Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions

Figure 1

CT, 05/05/17: perisplenic and subcapsular hematoma (black arrow) along the dome of the spleen, with an area of active bleeding along the superior subcapsular region (purple arrows) with no clear fat plane separation between the colonic splenic flexure and the lower portion of the spleen (white arrows) and contrast tracking irregularly along diverticula/splenocolic adhesions and splenocolic ligament (red arrows).

(a) Axial image

(b) Axial image

(c) Coronal image

(d) Coronal image