J Korean Radiol Soc.  1989 Dec;25(6):952-959. 10.3348/jkrs.1989.25.6.952.

Evaluation of CT findings in hepatic and splenic injury

• Koh JY
• Kim NG
• Kim MS
• Hong IS
• Sung KJ

• KMID: 2359030
• DOI: http://doi.org/10.3348/jkrs.1989.25.6.952

Abstract

1. There were 36 hepatic injuries and 30 splenic injuries in 60 patients. 3 patients had combined injuries with liver and splenic injury. 2. Type of injury were 3 subcapsular, 11 intraparenchymal, and 22 transected typesin the liver and were 2 intraparenchymal and 28 transected types in the spleen. 3. Most common degree ofparenchymal injuries was minimal in the liver and was moderated or severe in the spleen. 4. Amount of hemoperitoneum in transected types was not increased approximately to the degree of parenchymal injury in theliver and was increased approximately to the degree of parenchymal injury in the spleen. 5. 62% of hepatic injuries and 31% of splenic injuries were recovered by only consevartive treatment. 6. 2 cases were failed to conservartive treatment due to delayed development of hemoperitoneum in transected hepatic injuries. In conclusion, abdominal CT scan is absolutely necessary for the evaluation of type and degree of injury, the amount and the location of hemoperitoneum, the decision of treatment method, and the resolving process after conservative treatment in hepatic and splenic injuries.

MeSH Terms

Hemoperitoneum
Humans
Liver
Methods
Spleen
Tomography, X-Ray Computed