caa a22 4500 477079679 CHVBK 20180405111446.0 cr unu---uuuuu 170330e19960501xx s 000 0 eng 10.1007/BF02440034 doi (NATIONALLICENCE)springer-10.1007/BF02440034 Computed tomographic diagnosis of splenic trauma presenting with kehr's sign (referred left shoulder pain) [Elektronische Daten] [Patrick Rao, Robert Novelline] Acute, posttraumatic shoulder pain is most often due to direct injury to the shoulder girdle. Occasionally, it can be due to pain referred from injury elsewhere, such as in the diaphragmatic region. In the setting of left-sided thoracoabdominal trauma, left upper quadrant tenderness, and left shoulder pain, splenic injury should be strongly suspected. Kehr's sign, or referred left shoulder pain from splenic injury, is well described in the surgery literature but has not received similar attention in the radiology literature. This communication describes a patient injured in a bicycling accident whose chief complaint was severe left shoulder pain. Negative shoulder radiographs and an unremarkable shoulder physical examination sparked concern for a splenic injury referring pain to the left shoulder, and this was confirmed on abdominopelvic computed tomography. American Society of Emergency Radiology, 1996 Splenic trauma nationallicence Shoulder pain nationallicence Diaphragm nationallicence Kehr's sign nationallicence Computed tomography nationallicence Rao Patrick Department of Radiology, Massachusetts General Hospital, 02114, Boston, Massachusetts aut Novelline Robert Department of Radiology, Massachusetts General Hospital, 02114, Boston, Massachusetts aut Emergency Radiology Springer-Verlag 3/3(1996-05-01), 134-136 1070-3004 3:3<134 1996 3 10140 https://doi.org/10.1007/BF02440034 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02440034 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rao Patrick Department of Radiology, Massachusetts General Hospital, 02114, Boston, Massachusetts aut NATIONALLICENCE 700 1- Novelline Robert Department of Radiology, Massachusetts General Hospital, 02114, Boston, Massachusetts aut NATIONALLICENCE 773 0- Emergency Radiology Springer-Verlag 3/3(1996-05-01), 134-136 1070-3004 3:3<134 1996 3 10140 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer