Document Detail

Intrasplenic posttraumatic pseudoaneurysm: echo color doppler diagnosis.
MedLine Citation:
PMID:  8810980     Owner:  NLM     Status:  MEDLINE    
Nonsurgical conservative treatment of blunt splenic trauma has gained widespread consensus in the last few years. It has been demonstrated that 60% of patients with blunt abdominal trauma with spleen lesion achieve the best therapy by using conservative therapy. Despite the accuracy of ultrasonography (US) and computed tomography in detecting and grading the spleen lesions, the evolution of the lesion is often unexpected. In 15 to 30% of patients, a two-stage splenic rupture may be expected within 2 weeks. Delayed complications, such as splenic abscesses and pseudoaneurysms of the splenic artery and its branches, have been observed. To prevent complications, a short follow-up has been scheduled for these patients by using US and US color Doppler. The authors propose routine echo Doppler evaluation for all patients affected by intraparenchymal hematoma after blunt abdominal trauma.
O Goletti; G Ghiselli; P V Lippolis; M Di Sarli; C Macaluso; F Pinto; M Chiarugi; E Cavina
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  41     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1996 Sep 
Date Detail:
Created Date:  1996-10-22     Completed Date:  1996-10-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  542-5     Citation Subset:  AIM; IM    
Emergency Surgery Department, University of Pisa, Italy.
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MeSH Terms
Abdominal Injuries / complications*
Aneurysm, False / etiology,  radiography,  ultrasonography*
Echocardiography, Doppler, Color*
Hematoma / etiology,  radiography,  ultrasonography
Middle Aged
Splenic Artery* / ultrasonography
Tomography, X-Ray Computed
Wounds, Nonpenetrating / complications*

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