Blunt trauma of the spleen: The delayed rupture in computed tomography

F. Boioli, F. Gattoni, B. Tagliaferri, G. Ceriani, C. Pozzato, I. Spagnoli, P. Potepan, C. Uslenghi

Research output: Contribution to journalArticlepeer-review

Abstract

We retrospectively reviewed CT scans of 18 patients (12 males and 6 females; mean age: 43.6 years) with the diagnosis of blunt splenic trauma. All patients underwent CT at different times after the trauma. The cases were divided into 2 groups: according to the time at which the CT was perfomed, the 1st group consisted of 11 patients scanned within 48 h after the trauma; the 2nd group consisted of 7 patients studied with CT at variable times after the traumatic event (mean time: 6.5 days; range 3-13 days). All lesions in the 1st group (11 patients) had indistinct margins, while lesions of patients in the 2nd group (7 patients) always showed clean-cut and regular edges. Early lesions were always hyperdense, late ones hypodense. CT diagnosis always matched the surgeon's diagnosis . We can confirm the diagnostic value of CT of splenic lesions in blunt abdominal traumas.

Original languageEnglish
Pages (from-to)210-215
Number of pages6
JournalBildgebung/Imaging
Volume61
Issue number3
Publication statusPublished - 1994

Keywords

  • blunt trauma
  • computerized tomography
  • delayed splenic rupture
  • radiodiagnosis
  • spleen

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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