Splenic trauma: value of follow-up CT

To determine the value of follow-up computed tomography (CT) after expectant treatment in patients with clinically stable blunt splenic trauma. Medical records and CT studies for 42 patients were reviewed, and injuries were graded on a scale of 1-6. Patients were divided into three groups: stable pa...

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Bibliographic Details
Published inRadiology Vol. 194; no. 1; p. 97
Main Authors Lawson, D E, Jacobson, J A, Spizarny, D L, Pranikoff, T
Format Journal Article
LanguageEnglish
Published United States 01.01.1995
Subjects
Adolescent
Adult
Animals
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Infant
Male
Middle Aged
Spleen - diagnostic imaging
Spleen - injuries
Splenic Rupture - diagnostic imaging
Tomography, X-Ray Computed
Wounds, Nonpenetrating - diagnostic imaging
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Summary:To determine the value of follow-up computed tomography (CT) after expectant treatment in patients with clinically stable blunt splenic trauma. Medical records and CT studies for 42 patients were reviewed, and injuries were graded on a scale of 1-6. Patients were divided into three groups: stable patients with no follow-up CT (group 1, n = 14), stable patients with follow-up CT (group 2, n = 22), and symptomatic patients with follow-up (group 3, n = 6). Serial hemoglobin values and clinical findings at follow-up CT were reviewed. All patients in groups 1 and 2 remained clinically stable with good outcomes. In group 3, follow-up CT scans demonstrated worsening condition in four patients (67%), and three of the four had poor outcomes. Follow-up CT may be unnecessary in patients with clinically stable splenic trauma.
ISSN:0033-8419
DOI:10.1148/radiology.194.1.7997589