Stumpfes Bauchtrauma: Milzlappung als Differentialdiagnose einer Milzruptur
| Autor: | H. D. Becker, A. El Mouaaouy, T. T. Zittel |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
business.industry Peritoneal fluid medicine.medical_treatment Spleen Retrospective cohort study medicine.disease medicine.anatomical_structure Blunt Abdominal trauma Laparotomy medicine Emergency ultrasound Radiology Nuclear Medicine and imaging Radiology Differential diagnosis business |
| Zdroj: | Ultraschall in der Medizin. 12:91-94 |
| ISSN: | 1438-8782 0172-4614 |
| DOI: | 10.1055/s-2007-1003977 |
| Popis: | In a retrospective study, we analyzed the data of 232 patients with blunt abdominal trauma between January 1, 1984, and December 31, 1988. In emergency ultrasound, we detected 4 patients with a smooth disruption of the splenic outline combined with free peritoneal fluid around the spleen. Because of the blunt abdominal trauma, a rupture of the spleen had to be excluded. In two of these 4 cases, we decided for laparotomy. Intraoperatively, we found a splenic lobulation and no splenic injury in both cases. We conclude that an emergency sonographic examination of the spleen, it should be kept in mind that the anatomical variation of a splenic lobulation might mimic a rupture of the spleen. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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