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Figure 6. 58-year-old patient with lower limb vein thrombosis. Coumarin therapy and pain in the left upper abdomen (from reference [5] with the permission of the publisher). (a) Ultrasound of the spleen showed a irregular delineated subcapsular haematoma (H) classified for grade 2 splenic injury. (b) On ultrasound follow-up 2 weeks later a hypoechoic transformation of the haematoma was seen. (c) On ultrasound follow up 6 weeks later a nearly complete healing was seen with a inhomogeneity of splenic texture. (d) CT at the time of primary diagnosis of spontaneous splenic rupture confirmed subcapsular haematoma of the spleen.