Doppler ultrasound for the assessment of conservatively treated blunt splenic injuries: a prospective study
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : D. Soffer O. Wiesel C. I. Schulman M. Ben Haim J. M. Klausner A. Kessler
- چاپ و سال / کشور: 2010
Description
Introduction The type and need for follow-up of non-operatively managed blunt splenic injuries remain controversial. The use of Doppler ultrasound to identify post-traumatic splenic pseudoaneurysms, considered to be the main cause of ‘‘delayed’’ splenic rupture, has not been well described. Patients and methods A 5-year prospective study was performed from 2004 to 2008. All patients with blunt splenic injury diagnosed with computerized tomography, who were treated non-operatively, were included in the study. Doppler ultrasound examination was performed 24–48 h post-injury. Consecutive Doppler ultrasound examinations were done on 7, 14 and 21 days post-injury for patients diagnosed with a splenic pseudoaneurysm. Demographic and clinical data were collected. Ambulatory follow-up continued for 4 weeks after hospital discharge. Results A total of 38 patients were enrolled in the study. Grading of splenic injury demonstrated 19 (50%) patients with Grade I, 16 (42%) with Grade II and 3 (8%) with Grade III injuries. Two patients (5%) had pseudoaneurysms. All pseudoaneurysms underwent complete resolution within 2 weeks after diagnosis. No patients received blood products, or had angio-embolization or surgery during the study period. All patients were found to be asymptomatic and stable at the 4-week follow-up. Conclusions Doppler ultrasound can be an effective and a safe noninvasive modality for evaluation and follow-up of patients with blunt splenic injury. The utility and costeffectiveness of routine surveillance requires further study
Eur J Trauma Emerg Surg (2011) 37:197–202 DOI 10.1007/s00068-010-0044-7 Received: 2 May 2010 / Accepted: 13 August 2010 / Published online: 23 September 2010
