Fig. 1.

A 50-year-old man who fell from 20 feet. ( a ) Axial CT of the abdomen and ( b ) coronal CT of the abdomen showing extensive splenic contusion/laceration with perisplenic hematoma consistent with a grade IV injury. ( c ) Early-phase splenic angiography. ( d ) Late-phase splenic angiography demonstrating multiple segmental perfusion defects, correlating to known splenic lacerations. Faint petechial contrast pooling in the region of the parenchymal defect. ( e ) Postembolization angiography following Gelfoam embolization from the distal main splenic artery with resultant sluggish flow and peripheral vascular pruning.