Atraumatic splenic rupture after cocaine use and acute Epstein-Barr virus infection: A case report and review of literature

Figure 1 Coronal slice of abdominal computed tomography with intravenous contrast in the portal venous phase demonstrating haemoperitoneum (asterisk) and splenic subcapsular haematoma (arrow).

Figure 2 Coronal slice of computed tomography angiogram demonstrating splenic artery pseudoaneurysm (arrow) with no evidence of active bleeding (measurements 9. 1 × 8.3 × 8.1 mm).

Figure 3 3D reconstruction of computed tomography angiogram demonstrating splenic artery pseudoaneurysm (circled).

Figure 4 Still image from formal angiogram demonstrating intra-arterial catheter and deployment of endovascular plug (circled, visible beyond the tip of the catheter).

Figure 5 Coeliac angiography after deployment of endovascular plug. Note the abrupt cessation of blood flow in the proximal splenic artery (arrow).

Figure 6 Delayed still image from coeliac angiogram confirming complete occlusion of the proximal splenic artery by endovascular plug (arrow).

Figure 7 Coronal slice of abdominal computed tomography on day 5 of admission, demonstrating reduction in size of both haemoperitoneum and splenic subcapsular haematoma.