Computed tomography of splenic trauma

Fifty patients with abdominal trauma and possible splenic injury were evaluated by computed tomography (CT). CT correctly diagnosed 21 of 22 surgically proved traumatic lesions of the spleen (96%). Twenty-seven patients had no evidence of splenic injury. This was confirmed at operation in 1 patient...

Full description

Saved in:

Bibliographic Details
Published in:	Radiology Vol. 141; no. 3; p. 729
Main Authors:	Jeffrey, R B, Laing, F C, Federle, M P, Goodman, P C
Format:	Journal Article
Language:	English
Published:	United States 01-12-1981
Subjects:	Abdominal Injuries - diagnostic imaging Adolescent Adult Child Child, Preschool Hematoma - diagnostic imaging Humans Kidney - injuries Middle Aged Spleen - diagnostic imaging Spleen - injuries Tomography, X-Ray Computed
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Fifty patients with abdominal trauma and possible splenic injury were evaluated by computed tomography (CT). CT correctly diagnosed 21 of 22 surgically proved traumatic lesions of the spleen (96%). Twenty-seven patients had no evidence of splenic injury. This was confirmed at operation in 1 patient and clinical follow-up in 26. There were one false negative and one false positive. In 5 patients (10%), CT demonstrated other clinically significant lesions, including hepatic or renal lacerations in 3 and large retroperitoneal hematomas in 2. In adolescents and adults, CT is an accurate, noninvasive method of rapidly diagnosing splenic trauma and associated injuries. Further experience is needed to assess its usefulness in evaluating splenic injuries in infants and small children.
ISSN:	0033-8419
DOI:	10.1148/radiology.141.3.7302229