Splenic scintigraphy: a large congenital fissure mimicking splenic hematoma.

This report describes a case of blunt abdominal trauma in which a deep congenital fissure in the superior border of the spleen led to the preoperative scintigraphic diagnosis of a splenic hematoma. The frequency of splenic notches of this magnitude is low but significant, hence anatomical variation should be considered in the differential diagnosis of scintigraphic defects.