Scintigraphic Evaluation of Traumatic Splenic Lesions in Children

Acta Radiologica - Tập 29 Số 1 - Trang 121-125 - 1988
U. Erasmie, W. Mortensson, Ulf Persson, K. Lännergren

Tóm tắt

Ninety-eight children with recent blunt abdominal trauma which initially evoked clinical suspicion of splenic injury were examined with colloid scintigraphy of the spleen and the liver using multiple imaging views and with abdominal survey. Nineteen children were, in addition, examined with tomographic scintigraphy. The clinical findings and the course of the disorder were reanalysed. Scintigraphy indicated splenic injury in 56 children and hepatic injury in another 5 children. The left lateral and the left oblique were the optimum imaging views for detecting splenic ruptures. Tomographic scintigraphy did not improve the diagnostic yield. Abdominal survey failed to indicate almost every second case of splenic rupture and provided no additional information of significance. The clinical review agreed with the scintigraphic diagnosis of splenic lesions but, in addition, it suggested possible splenic lesions in another 10 children with normal scintigraphy. This discrepancy cannot be explained as surgery was not employed; the occurrence of splenic lesions too small to become detectable at scintigraphy or to provoke clinically evident symptoms may be supposed.

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Tài liệu tham khảo

10.1016/S0022-3476(76)80267-3

10.2214/ajr.136.1.105

10.1148/radiology.153.2.6091175

10.1016/0022-3468(71)90380-0

10.1001/jama.1972.03210060021005

Fischer K., 1978, J. Nucl. Med., 19, 3

10.1148/radiology.145.2.7134453

10.1016/S0001-2998(74)80029-2

Griffin L., 1978, Amer. Surg., 44, 318

10.2214/ajr.142.3.449

10.1148/radiology.153.2.6484184

10.1097/00000658-195208000-00006

Larsson S., 1980, Acta radiol., 5

10.1016/S0022-3476(84)80125-0

10.1148/110.2.419

10.2214/ajr.134.2.265

10.1001/archsurg.1982.01380330015005

10.1097/00000658-191911000-00001

10.1148/110.3.609

10.3109/00016925709171481

Ödman P., 1958, Acta radiol.

10.1002/bjs.1800550703

Sherrman R., 1980, 1979 Presidental Address, American Association for the Surgery of Trauma. J. Trauma, 20, 1

Singer D. B., 1973, Perspectives in pediatric pathology, 1, 285

10.1016/0002-9343(57)90095-5

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Thông tin xuất bản

Acta Radiologica

Tập 29 Số 1

121-125

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