Journal Browser Advanced Search Help
Journal Browser Advanced search HELP
J Korean Surg Soc. 2004 Nov;67(5):390-396. English. Original Article.
Cho YP , Jung SM , Han MS , Jang HJ , Kim YH , Choi YB .
Department of Surgery, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea. ypcho@gnah.co.kr
Department of Diagnostic Radiology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.
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.

Copyright © 2019. Korean Association of Medical Journal Editors.