Document Detail

Management of splenic trauma: a new CT-guided splenic injury grading system.
MedLine Citation:
PMID:  2025187     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to assess a newly developed computerized tomography (CT)-based splenic injury index in predicting the outcome of splenic injury. Twelve patients with isolated splenic injuries were studied. Splenic parenchymal injury was graded from 1 to 4 based on CT. The splenic injury index was obtained by multiplying the parenchymal score by the volume haemoperitoneum, which was measured on the CT scanner. The 12 patients with CT-proven splenic injuries had a mean injury index of 193.5 +/- 191 (mean +/- s.d.). The 3 patients who failed conservative management had a mean index of 475 +/- 50, compared with an index of 99.5 +/- 100 in the nine managed non-operatively (P less than 0.001). This new CT-based splenic injury index allows morphological assessment of splenic injury and may predict the outcome of splenic trauma.
M Sugrue; A Knox; R Sarre; N McIntosh; J Toouli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian and New Zealand journal of surgery     Volume:  61     ISSN:  0004-8682     ISO Abbreviation:  Aust N Z J Surg     Publication Date:  1991 May 
Date Detail:
Created Date:  1991-05-31     Completed Date:  1991-05-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373115     Medline TA:  Aust N Z J Surg     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  349-53     Citation Subset:  IM    
Department of Surgery, Flinders Medical Centre, Bedford Park, South Australia.
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MeSH Terms
Child, Preschool
Hemoperitoneum / etiology,  radiography
Middle Aged
Spleen / injuries*,  pathology,  radiography
Tomography, X-Ray Computed*
Wounds and Injuries / pathology,  radiography,  surgery

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