A potential peritoneal space between the splenic capsule and the diaphragmatic and gastric peritoneal reflections in the left upper quadrant, becoming relevant in subcapsular splenic haematoma and perisplenic fluid collections.
Subcapsular splenic haematoma expands in this perisplenic space, visible on CT as a lenticular hypoattenuating collection under the splenic capsule. The spleen can accommodate large subcapsular haematomas before rupture. Kehr's sign (left shoulder pain from diaphragmatic irritation) indicates perisplenic or free intraperitoneal haemorrhage. Non-operative management of splenic injuries involves monitoring this space with serial imaging.
Blood collection between the splenic capsule and parenchyma from blunt abdominal trauma, graded by AAST spleen injury scale and managed non-operatively in haemodynamically stable patients with serial CT monitoring.
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