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KMID : 0371320040670050390
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Journal of the Korean Surgical Society
2004 Volume.67 No. 5 p.390 ~ p.396
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Repeat CT Scan for Non-operative Management of Blunt Splenic Trauma
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Cho Yong-Pil
Jeong Sung-Moon
Han Myoung-Sik
Jang Hyuk-Jai
Kim Yong-Ho
Choi Youn-Baik
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Abstract
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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. (J Korean Surg Soc 2004;67:390-396)
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