Repeat CT Scan for Non-operative Management of Blunt Splenic Trauma
Journal of the Korean Surgical Society
;
: 390-396, 2004.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Bazo
/
Arteria Esplénica
/
Tomografía Computarizada por Rayos X
/
Estudios Prospectivos
/
Aneurisma Falso
/
Diagnóstico
/
Hematoma
/
Hemorragia
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of the Korean Surgical Society
Año:
2004
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS