Figure 1c. Images in 20-year-old woman in the first trimester of pregnancy who was involved in a high-speed motor vehicle crash that resulted in splenic laceration that was managed without intervention. (a) Longitudinal US image of pelvis shows free fluid (arrow) in cul-de-sac and an intrauterine (U) pregnancy. A Foley catheter (F) is present within the bladder. (b) Transverse helical CT scan of abdomen shows laceration (arrow) in posterior aspect of spleen but no substantial free fluid. (c) Transverse CT scan of pelvis shows an enlarged uterus (U) with gestational sac and free fluid (arrow) in the cul-de-sac.