An Iatrogenic Case of Splenic Subcapsular Hematoma
ePoster
Authors: Daniel Singer, Stony Brook University Hospital Benjamin Fombonne, Stony Brook Medicine Michael Secko, Stony Brook University Hospital
We present here a case of a 60 year old patient who arrived at the ER with an iatrogenic known subcapsular hematoma whose symptoms were seemingly unrelated. The patient was initially examined by ED clinical team who ordered CT scan showing improving size, but multiple laboratory derangements warranting medical admission. POCUS exam was performed which confirmed lack of active bleed and well defined border of hematoma. Medicine team initially delayed disposition due to perceived need for surgical and Interventional Radiology consultation. Four hours after radiology read of the CT scan, patient was admitted to the hospital with a stable hematoma, that was not intervened upon during hospital admission. This case serves to illustrate the utility of POCUS in the ED setting to aid in the diagnosis and confirm surveillance of a concerning possible surgical complication and make consultants potentially feel more comfortable and confident with ED provider ability to evaluate a subcaspular hematoma.