Computed tomography of splenic trauma

Journal Article · Tue Dec 01 04:00:00 EST 1981 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.141.3.7302229· OSTI ID:5799574

Jeffrey, R B; Laing, F C; Federle, M P; Goodman, P C

Fifty patients with abdominal trauma and possible splenic injury were evaluated by computed tomography (CT). CT correctly diagnosed 21 of 22 surgically proved traumatic sesions 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.

• Research Organization: San Francisco General Hospital, CA
• OSTI ID: 5799574
• Journal Information: Radiology; (United States), Journal Name: Radiology; (United States) Vol. 141:3; ISSN RADLA
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
AGE GROUPS
BIOLOGICAL SHOCK
BODY
CHILDREN
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
INFANTS
INJURIES
ORGANS
PATHOLOGICAL CHANGES
PATIENTS
SPLEEN
TOMOGRAPHY