Splenic injury from blunt abdominal trauma in children: follow-up evaluation with CT
| Autor: | Ellen C Benya, M R Eichelberger, Dorothy I. Bulas, C J Sivit |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Spleen Abdominal Injuries Wounds Nonpenetrating Lesion Blunt Humans Medicine Radiology Nuclear Medicine and imaging In patient Child business.industry Infant medicine.disease Surgery Follow up evaluation medicine.anatomical_structure Abdominal trauma Child Preschool Abdomen Female Radiology Splenic disease medicine.symptom Tomography X-Ray Computed business Follow-Up Studies |
| Zdroj: | Radiology. 195:685-688 |
| ISSN: | 1527-1315 0033-8419 |
| Popis: | PURPOSE: To assess if the initial grade of splenic injury depicted at computed tomography (CT) in children could help predict rate of healing. MATERIALS AND METHODS: Thirty-seven children with splenic injury graded at emergent CT were prospectively followed up with non-enhanced and contrast material-enhanced CT performed 2 weeks to 11 months after injury. RESULTS: In all 15 grade 1 and 2 splenic injuries, healing was seen at follow-up, including eight injuries that occurred in patients who underwent follow-up CT within 4 months. In 10 of 11 grade 3 splenic injuries, healing was seen within 6 months. In all 11 grade 4 injuries, residual lesions were seen within 4 months and healing took up to 11 months. Five of nine residual splenic injuries were more clearly visualized with contrast material enhancement. No splenic complications occurred. CONCLUSION: CT grade of splenic injury is related to rate of healing. Grade 1 and 2 injuries typically heal within 4 months, whereas grade 3 injuries take up to 6 months... |
| Databáze: | OpenAIRE |
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