Repeat CT Scan for Non-operative Management of Blunt Splenic Trauma
Journal of the Korean Surgical Society
;
: 390-396, 2004.
Article
in English
| WPRIM
| ID: wpr-109019
ABSTRACT
PURPOSE:
This study was performed to evaluate the value of repeated CT scans for the non-operative management of patients with clinically stable blunt splenic trauma.METHODS:
49 consecutive patients with blunt splenic trauma were prospectively studied. Of these, 29 (59.2%) were initially managed non-operatively according to their clinical status and initial CT findings. A repeat CT scan was obtained within 7 days of admission.RESULTS:
Of the 29 non-operatively managed patients, 5 (17.2%) required delayed surgical intervention 3 presented with a change in thier clinical status, whereas the other 2 did not. In all 5 patients, a repeat CT scan revealed a deteriorating appearance of the splenic injury active bleeding or an increased hematoma in 3, with splenic artery pseudoaneurysms in the other 2.CONCLUSION:
This initial experience suggests that a repeat CT scan can provide valuable clinical information in selected cases on the diagnosis and management of a splenic injury to document the healing or progression of the injury.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spleen
/
Splenic Artery
/
Tomography, X-Ray Computed
/
Prospective Studies
/
Aneurysm, False
/
Diagnosis
/
Hematoma
/
Hemorrhage
Type of study:
Diagnostic study
/
Observational study
Limits:
Humans
Language:
English
Journal:
Journal of the Korean Surgical Society
Year:
2004
Type:
Article
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