Traumatic Perisplenic Retroperitoneal Hematoma on POCUS



Young male with fall from 20 feet.  Soft vitals, LUQ/flank pain.  No free fluid seen in Morison's pouch or pelvis.  Perisplenic diagnosis? 

Answer: patient has large retroperitoneal hematoma seen.  On CT scan had extensive hematoma/hemorrhage with active blush and underwent embolization.  Note the distortion of the position of the left kidney on the perisplenic window.



Labeled Schematic: https://twitter.com/RJonesSonoEM/status/1225871213354012672



Dr. Robert Jones @RJonesSonoEM



#Retroperitoneal #Hematoma #Traumatic #Perisplenic #POCUS #clinical #ultrasound #FAST #Positive