Here, we report a case of 59-year-old male who presented with abdominal pain after a screening colonoscopy and was ultimately diagnosed with a perisplenic
hematoma associated with the procedure.
aureus were isolated from perisplenic
drain tip which was the least among all.
In addition, there were small hypodense fluid collections in the Morrison's pouch, the perisplenic
and perihepatic regions, and the rectovesical recess with a density similar to water (Figures 2, 3).
5% (2/16) of the cuts, the perisplenic
area was observed thickened with the presence of inflammatory exudate composed of neutrophils and macrophages on condensed fibrin, and in some cases, the presence of fibroblasts; compatible with a fibrin-suppurative acute or chronic type perisplenitis (Figure 2-a).
Orloff and Peskin  devised the following criteria for spontaneous splenic rupture in the context of a normal spleen: no history of trauma; the absence of systemic disease affecting the spleen; the absence of perisplenic
adhesions to suggest trauma; and the presence of macroscopically and histologically normal splenic parenchyma, vasculature and capsule.
FAST consists of the evaluation of four points (pericardial, perihepatic, perisplenic
, and pelvic (Fig.
The abdominal ultrasound reveals a finely granular liver, increased reflectivity, IVC = 29 mm, elevated hepato-jugular reflux, dilated ESR = 13 mm, VP = 14 mm, Doppler curve on the porta vein with ample variations because of the hepato-jugular reflux, perisplenic
ascites liquid, ascites liquid in high quantity between the intestinal ansae; cholestasis with swollen gallbladder and walls thickening; small dimensions kidneys (right kidney = 98 mm, parenchymatous index = 10 mm, left kidney = 100 mm, parenchymatous index = 10 mm).
His ultrasonographic examination revealed layered and thickened gallbladder wall up to 18mm and pericystic, perihepatic, perisplenic
free fluid accumulation.
Orloff and Peskin (10) had suggested few criteria for labelling any case as spontaneous rupture of spleen: (i) no history of trauma; (ii) absence of any disease affecting spleen directly or indirectly; (iii) absence of perisplenic
adhesions or scarring; and (iv) presence of normal spleen, macroscopically and microscopically.
5,6) We describe a case of primary pancreatic RDD infiltrating into the peripancreatic, perinephric, and perisplenic
adipose tissue, simulating malignancy.
An ultrasound scan showed free fluid in the perihepatic and perisplenic
recesses, but no free air or air-fluid levels were seen on conventional radiographs.
An exploratory laparotomy revealed massive hemoperitoneum (approximately 3 liters), spleen grossly congested with rupture of middle third and perisplenic