Naslov
Blunt splenic injuries: a sonographic contribution to indications for conservative or operative treatment

Autori
Miletić, Damir ; Fučkar, Željko ; Mozetić, Vladimir ; Šustić, Alan

Izvornik
Radiology and oncology (1318-2099) 27 (1993); 99-104

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
spleen-ultrasonography ; wounds ; nonpenetrating

Sažetak
In the presented 10 year period altogether 932 patients after blunt abdominal injury were examined, and 110 traumatic lesions of the spleen were sonograhically diagnosed, from which 89 were directly visualized whereas in 21 patients only free abdominal fluid was present. We have sonographically detected 26 (29.3% of directly visualized lesions) subcapsular splenic hematomas, 13 (14, 6%) shallow splenic lacerations, 20 (22, 5%) intraparenchymal hematomas and 30 (33, 7%) deep splenic ruptures. By means of ultrasound we have conservatively treated 88, 5% of subcapsular hematomas, 77% of shallow splenic lacerations, 80% of intraparenchymal hematomas and none of deep splenic ruptures. Ultrasound showed reliable results with respect to sensitivity (97%), specificity (100%) and accuracy (99, 7%).

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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