ORIGINAL ARTICLE: PDF OnlyKluger Yoram MD; Paul, Douglas B. MD DO; Townsend, Richard N. MD; Diamond, Daniel L. MDThe Journal of Trauma: Injury, Infection, and Critical Care: March 1994 - p 436-437 Buy Abstract Computed tomogrpahy is considered a reliable imaging technique when determining the extent of splenic injury. We present the case of a patient with a traumatic infarct of the spleen detected by computed tomogrpahic scanning of the abdomen. During laparotomy there was an infarction of the spleen from a hilar injury in addition to bleeding from the splenic vein. We conclude that ongoing bleeding from the splenic hilar vessel can lead to a rim of enhancement around the spleen from contrast material. This should be taken into account when a decision is made for nonsurgical management. © Williams & Wilkins 1994. All Rights Reserved.