Snapshot A 33-year-old man is brought to a trauma center after a motor vehicle accident. He reports a lot of pain in his chest and his abdomen. Physical exam shows multiple rib fractures on the left side. His vitals show that he is hypotensive even after several liters of crystalloid fluids. A FAST exam shows free fluid in the perisplenic space. He is taken urgently into the operating room for an exploratory laparotomy. Introduction Overview login to view 2 more bullets Epidemiology Risk factors login to view 9 more bullets ETIOLOGY Pathogenesis login to view 4 more bullets Presentation History login to view 1 more bullet Symptoms login to view 5 more bullets Physical exam login to view 9 more bullets Imaging Abdominal ultrasound login to view 6 more bullets CT of abdomen login to view 7 more bullets Studies Serum labs login to view 2 more bullets Differential Splenic abscess login to view 3 more bullets Treatment Medical login to view 3 more bullets Surgical login to view 8 more bullets Complications Infection Acute respiratory distress syndrome Pancreatitis