A Case of Splenic Hematoma: Diagnostic and Therapeutic Insights
Faculty Mentor
Dr. Myka Bussey-Campbell
Location
Savannah Ballroom
Type of Research
Proposed
Session Format
Poster Presentation
College
Waters College of Health Professions
Department
Clinical Sciences
Abstract
Abstract
A splenic hematoma is an accumulation of blood within the spleen, typically resulting from trauma. Among traumatic abdominal injuries, splenic hematoma is present in about 33% of cases. Although splenic hematoma is not more prevalent in a particular race, it is more common in young males due to their high-risk activities. This case study describes a 9-year-old white female who sustained a significant blunt abdominal injury from a horse kick. She came in with clinical symptoms of hematuria and left upper abdominal pain. A renal ultrasound was initially conducted to evaluate the kidneys and bladder; however, a splenic hematoma was incidentally identified by the sonographer. The exam displayed a hypoechoic, complex lobular structure with a heterogeneous texture and no internal vascularity. Segmental renal ischemia was also identified in the left kidney while performing this ultrasound scan. Pathological examination by the radiologist revealed that the patient had a splenic hematoma along with a left renal injury. This case also presents differential diagnosis, treatment options, and prognosis and outcomes of splenic hematomas. This case study provides diagnostic and therapeutic insights, as well as an overview of the etiology and progression of splenic hematomas.
Keywords: splenic hematoma; trauma; high-risk activities; accumulation of blood
Program Description
.
Start Date
4-21-2026 1:30 PM
End Date
4-21-2026 3:30 PM
Recommended Citation
Lee, Genesis, "A Case of Splenic Hematoma: Diagnostic and Therapeutic Insights" (2026). GS4 Student Scholars Symposium. 62.
https://digitalcommons.georgiasouthern.edu/research_symposium/2026A/2026A/62
A Case of Splenic Hematoma: Diagnostic and Therapeutic Insights
Savannah Ballroom
Abstract
A splenic hematoma is an accumulation of blood within the spleen, typically resulting from trauma. Among traumatic abdominal injuries, splenic hematoma is present in about 33% of cases. Although splenic hematoma is not more prevalent in a particular race, it is more common in young males due to their high-risk activities. This case study describes a 9-year-old white female who sustained a significant blunt abdominal injury from a horse kick. She came in with clinical symptoms of hematuria and left upper abdominal pain. A renal ultrasound was initially conducted to evaluate the kidneys and bladder; however, a splenic hematoma was incidentally identified by the sonographer. The exam displayed a hypoechoic, complex lobular structure with a heterogeneous texture and no internal vascularity. Segmental renal ischemia was also identified in the left kidney while performing this ultrasound scan. Pathological examination by the radiologist revealed that the patient had a splenic hematoma along with a left renal injury. This case also presents differential diagnosis, treatment options, and prognosis and outcomes of splenic hematomas. This case study provides diagnostic and therapeutic insights, as well as an overview of the etiology and progression of splenic hematomas.
Keywords: splenic hematoma; trauma; high-risk activities; accumulation of blood
