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KMID : 1103720100630060531
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Journal of the Korean Society of Radiology
2010 Volume.63 No. 6 p.531 ~ p.536
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Serial Changes of the Splenic Volume after Traumatic Intraperitoneal Hemorrhage
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Park Hyun-Jin
Lee Young-Hwan
Jung Kyung-Jae
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Abstract
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Purpose: We wanted to evaluate the serial changes of the splenic volume in patients with traumatic intraperitoneal hemorrhage.
Materials and Methods :20 consecutive patients with traumatic intraperitoneal hemorrhage and who underwent initial CT, early follow-up CT within 30 days and late follow- up CT examinations thereafter were included in this study. The volume of the spleen on each CT examination was measured and the relative splenic volume (RSV) on the initial and early follow-CT examinations was calculated on the basis of the splenic volume on the late follow-up CT. The hemoperitoneum score was calculated on the basis of the size of the intraperitoneal hemorrhage.
Results:The average RSVs of the initial and early follow-up CT were 62.0% and 133.3%, respectively, and all the patients showed an increase of the splenic and relative splenic volumes on the early follow-up CT, as compared with those on the initial CT. Initial splenic contraction was seen in 18 patients (90.0%) and early splenomegaly was seen in 14 patients (70.0%). Patients with initial splenic contraction and early splenomegaly were the most common (12 patient, 60.0%).
Conclusion: Initial physiologic splenic contraction was seen in most of the patients with hemoperitoneum, and thereafter early splenomegaly was commonly seen before normalization of the splenic volume.
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KEYWORD
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Spleen, Hemoperitoneum, Abdominal Injuries
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