Splenic trauma: Pictorial review of contrast-enhanced CT findings

被引:3
作者
Clark T.J. [1 ]
Cardoza S. [1 ]
Kanth N. [1 ]
机构
[1] Department of Radiology, Nassau University Medical Center, East Meadow, NY
关键词
AAST; Spleen; Spleen trauma; Splenic laceration; Splenic trauma; Subcapsular hematoma;
D O I
10.1007/s10140-010-0933-4
中图分类号
学科分类号
摘要
Splenic trauma is a common entity of high clinical significance that may have a variety of imaging manifestations. This article reviews splenic anatomy and function, mechanisms of splenic trauma, and the classification and grading of splenic trauma, with a particular focus on contrast-enhanced CT. Heterogeneous early enhancement of the spleen and technical suggestions to minimize this artifact are discussed. Mechanisms of trauma and their classification under the American Association for the Surgery of Trauma are discussed and illustrated. The merits of an alternative classification system by Marmery et al. are also considered. We conclude that knowledge of the mechanisms, classifications, and grades of splenic trauma can assist the clinician in clinical decision making and promote improved patient outcomes. © 2011 Am Soc Emergency Radiol.
引用
收藏
页码:227 / 234
页数:7
相关论文
共 11 条
[1]  
Kruetzmann S., Rosado M.M., Weber H., Germing U., Tournilhac O., Peter H.-H., Berner R., Peters A., Boehm T., Plebani A., Quinti I., Carsetti R., Human immunoglobulin M memory B cells controlling Streptococcus pneumoniae infections are generated in the spleen, Journal of Experimental Medicine, 197, 7, pp. 939-945, (2003)
[2]  
Donnelly L.F., Foss J.N., Frush D.P., Bisset III G.S., Heterogeneous splenic enhancement patterns on spiral CT images in children: Minimizing misinterpretation, Radiology, 210, 2, pp. 493-497, (1999)
[3]  
Johnston R.J., Stamm E.R., Lewin J.M., Hendrick R.E., Archer P.G., Diagnosis of fatty infiltration of the liver on contrast enhanced CT: Limitations of liver-minus-spleen attenuation difference measurements, Abdominal Imaging, 23, 4, pp. 409-415, (1998)
[4]  
Feliciano D.V., Bitondo C.G., Mattox K.L., A four-year experience with splenectomy versus splenorrhaphy, Annals of Surgery, 201, 5, pp. 568-575, (1985)
[5]  
Brady R.R.W., Bandari M., Kerssens J.J., Paterson-Brown S., Parks R.W., Splenic trauma in Scotland: Demographics and outcomes, World Journal of Surgery, 31, 11, pp. 2111-2116, (2007)
[6]  
Prokop M., Galanski M., Schaefer-Prokop C., Spleen, Spiral and Multislice Computed Tomography of the Body, (2003)
[7]  
Gayer G., Zissin R., Apter S., Atar E., Portnoy O., Itzchak Y., CT findings in congenital anomalies of the spleen, British Journal of Radiology, 74, 884, pp. 767-772, (2001)
[8]  
Gayer G., Zissin R., Apter S., Atar E., Portnoy O., Itzchak Y., CT findings in congenital anomalies of the spleen, British Journal of Radiology, 74, 884, pp. 767-772, (2001)
[9]  
Lee J.K., Sagel S., Stanely R., Heiken J., Computed Body Tomography with MRI Correlation, pp. 845-869, (1998)
[10]  
Marmery H., Shanmuganathan K., Alexander M.T., Mirvis S.E., Optimization of selection for nonoperative management of blunt splenic injury: Comparison of MDCT grading systems, American Journal of Roentgenology, 189, 6, pp. 1421-1427, (2007)