Repeat CT Scan for Non-operative Management of Blunt Splenic Trauma.
- Author:
Yong Pil CHO
1
;
Seung Mun JUNG
;
Myoung Sik HAN
;
Hyuk Jai JANG
;
Yong Ho KIM
;
Youn Baik CHOI
Author Information
1. Department of Surgery, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea. ypcho@gnah.co.kr
- Publication Type:Original Article
- Keywords:
Spleen;
Injuries;
Tomography;
X-Ray computed;
Therapy
- MeSH:
Aneurysm, False;
Diagnosis;
Hematoma;
Hemorrhage;
Humans;
Prospective Studies;
Spleen;
Splenic Artery;
Tomography, X-Ray Computed*
- From:Journal of the Korean Surgical Society
2004;67(5):390-396
- CountryRepublic of Korea
- Language:English
-
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.
