Congenital cleft spleen with CT scan appearance of high-grade splenic laceration after blunt abdominal trauma

被引：4

作者：

Brennan, TV ^{[1
]}

Lipshutz, GS ^{[1
]}

Posselt, AM ^{[1
]}

Horn, JK ^{[1
]}

机构：

[1] Univ Calif San Francisco, San Francisco Gen Hosp, Dept Surg, San Francisco, CA 94110 USA

来源：

JOURNAL OF EMERGENCY MEDICINE | 2003年 / 25卷 / 02期

关键词：

cleft spleen; bi-lobed spleen; splenic trauma; splenic injury; laceration; blunt abdominal trauma; CT scan; operative management; non-operative management;

D O I：

10.1016/S0736-4679(03)00161-6

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The spiral computed tomography (CT) scan has made the diagnosis of traumatic injury increasingly rapid and accurate, especially in cases of solid parenchymal organ injury that follows blunt abdominal trauma. Nonetheless, this valuable method of diagnosis can be confounded when anatomical variances are encountered in the setting of concomitant associated injuries. We present here a case where a congenitally bi-lobed spleen was diagnosed by CT scan as an apparent high-grade splenic laceration, prompting emergent laparotomy. (C) 2003 Elsevier Inc.

引用

页码：139 / 142

页数：4

共 10 条

[1] Blunt splenic injury in adults: Clinical and CT criteria for management, with emphasis on active extravasation [J].

Federle, MP ;

Courcoulas, AP ;

Powell, M ;

Ferris, JV ;

Peitzman, AB .

RADIOLOGY, 1998, 206 (01) :137-142

[2]

Federle MP, 1992, COMPUT TOMOGR, P1059

[3] Predicting clinical outcome of nonsurgical management of blunt splenic injury: Using CT to reveal abnormalities of splenic vasculature [J].

Gavant, ML ;

Schurr, M ;

Flick, PA ;

Croce, MA ;

Fabian, TC ;

Gold, RE .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1997, 168 (01) :207-212

[4] Nonsurgical management of patients with blunt splenic injury: Efficacy of transcatheter arterial embolization [J].

Hagiwara, A ;

Yukioka, T ;

Ohta, S ;

Nitatori, T ;

Matsuda, H ;

Shimazaki, S .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1996, 167 (01) :159-166

[5] Nonoperative management of solid organ injuries - Past, present, and future [J].

Knudson, MM ;

Maull, KI .

SURGICAL CLINICS OF NORTH AMERICA, 1999, 79 (06) :1357-+

[6]

MCCORT J, 1990, TRAUMA RADIOLOGY, P137

[7] Blunt selenic injury in adults: Multi-institutional study of the Eastern Association for the Surgery of Trauma [J].

Peitzman, AB ;

Heil, B ;

Rivera, L ;

Federle, MB ;

Harbrecht, BG ;

Clancy, KD ;

Croce, M ;

Enderson, BL ;

Morris, JA ;

Shatz, D ;

Meredith, JW ;

Ochoa, JB ;

Fakhry, SM ;

Cushman, JG ;

Minei, JP ;

McCarthy, M ;

Luchette, FA ;

Townsend, R ;

Tinkoff, G ;

Block, EFJ ;

Ross, S ;

Frykberg, ER ;

Bell, RM ;

Davis, F ;

Weireter, L ;

Shapiro, MB ;

Kealey, GP ;

Rogers, F ;

Jones, LM ;

Cone, JB ;

Dunham, CM ;

McAuley, CE .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2000, 49 (02) :177-187

[8] NONOPERATIVE SALVAGE OF COMPUTED TOMOGRAPHY-DIAGNOSED SPLENIC INJURIES - UTILIZATION OF ANGIOGRAPHY FOR TRIAGE AND EMBOLIZATION FOR HEMOSTASIS [J].

SCLAFANI, SJA ;

SHAFTAN, GW ;

SCALEA, TM ;

PATTERSON, LA ;

KOHL, L ;

KANTOR, A ;

HERSKOWITZ, MM ;

HOFFER, EK ;

HENRY, S ;

DRESNER, LS ;

WETZEL, W .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1995, 39 (05) :818-827

[9] FALSE-POSITIVE SPLEEN IMAGING - SPLENIC CLEFT AND ACCESSORY SPLEEN [J].

SLAVIN, JD ;

VENTO, JA ;

SPENCER, RP .

CLINICAL NUCLEAR MEDICINE, 1986, 11 (07) :509-510

[10] Computed tomography-assisted management of splenic trauma [J].

Williams, RA ;

Black, JJ ;

Sinow, RM ;

Wilson, SE .

AMERICAN JOURNAL OF SURGERY, 1997, 174 (03) :276-279

← 1 →