(A) An axial CT scan demonstrates a grade II splenic laceration with a small amount of hemoperitoneum. (B) An axial CT scan demonstrates a grade III splenic laceration with hemoperitoneum. (C) An axial CT scan demonstrates a grade IV laceration of the spleen with approximately 50% devascularization of the spleen and hemoperitoneum. (D) This axial CT slice demonstrates a grade V splenic laceration (shattered spleen). Note the large extravazating vessel (red arrow) and hemoperitoneum. (Photo/legend contributors: Ernesto Jose Jule, MD/John Amodio, MD.) Source: Chapter 20. Trauma, Atlas of Pediatric Emergency Medicine, 2e Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: https://accessemergencymedicine.mhmedical.com/DownloadImage.aspx?image=/data/Books/shah2/shah2_c020f080d.png&sec=42537995&BookID=577&ChapterSecID=42532506&imagename= Accessed: October 22, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved