Article Text

Download PDFPDF
Shared drink and a soft punch: an almost deadly combination
  1. Karsten Klingberg,
  2. David Srivastava,
  3. Simon Bosbach,
  4. Beat Lehmann
  1. Emergency Department, University Hospital Bern, Bern, Switzerland
  1. Correspondence to Karsten Klingberg, k.klingberg{at}


Injuries of the spleen in blunt abdominal trauma are common and can lead to fatal bleeding. The diagnostic of choice to determine severity and treatment is usually made in contrast-enhanced CT. In our case we used contrast-enhanced ultrasound to identify the origin of an intra-abdominal bleeding following a minor trauma in a patient with splenomegaly due to an Epstein-Barr virus infection.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors KK, DS, SB and BL contributed to the conception and planning of the work. KK and DS participated in the conduct and reporting of the work described in the article. KK, DS, SB and BL gave final approval of the version published. KK was responsible for the overall content as guarantor.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.