Treatment of the Injured Spleen: To Embolize or Remove? Steven …
· PDF 檔案Splenic Trauma Grading System • Grade 1 – < 1cm laceration depth – Or 3 cm laceration depth – Or >50% subcapsular hematoma
Spontaneous grade iv splenic laceration; excellent results of conservative treatment …
· PDF 檔案Spontaneous splenic rupture and laceration were first defined by Rokitansky and Atkinson consecutively in 1861 and 1874 after reported cases. Splenic injuries are mostly seen due to trauma, and these are generally blunt and penetrating injuries. However;
Medical Problems: Splenic Laceration (Splenic Lac)
A splenic laceration is fairly self descriptive and refers to a specific type of injury (tearing/laceration) that is sustained by the spleen. There is a specific grading system that is used to classify these types of injuries that has been instituted by the American Association for the Surgery of Trauma (AAST).
Iatrogenic Splenic Laceration from Cardiopulmonary …
· PDF 檔案for management is aided by a grading system for splenic injuries based on the extent of the splenic haematoma and/or laceration . However, for hemodynamically unstable patients, a …
Splenic lacerations and return to play: case report of 2 …
Splenic injuries from direct trauma include laceration, hematoma, and infarction; these can be identified by CT. 2 The most widely used tool for grading splenic injury on CT is the American Association for the Surgery of Trauma’s Organ Injury Scale. 14
Optimization of Selection for Nonoperative Management of Blunt Splenic Injury: Comparison of MDCT Grading …
· PDF 檔案MDCT Grading of Splenic Injury AJR:189, December 2007 1423 AB Fig. 1—36-year-old man with active splenic bleeding who was admitted after motor vehicle collision. A and B, Portal venous phase (A) and renal excretory phase (B) axial maximum-intensity-projection MDCT images show
Splenic laceration – Initial imaging of the spleen in trauma patients is effective at predicting outcomes and need for intervention Make sure you are familiar with the below AAST grading system so you include the information in your report that the surgeons will be
Spleen Injury – an overview
Laura Carucci MD, Evan S. Siegelman MD, in Body MRI, 2005SPLENIC TRAUMA The spleen is the most commonly injured intraperitoneal organ in the setting of blunt trauma. 2, 27 Types of splenic injury include subcapsular hematoma, intrasplenic hematoma secondary to contusion or laceration, devascularization, and splenic artery pseudoaneurysm.
Pediatric Trauma Society
Though obesity was associated with a higher grade liver laceration, it was not associated with failure in non-operative management. There was no difference in severity of splenic injury. It was theorized hepatic steatosis in the obese patients may make the liver more vulnerable to injury.
Computed tomography-assisted management of splenic …
Following confirmation of the accuracy and reproducibility of the grading scale, the splenic trauma management protocol was instituted, in which nonhilar injuries were managed nonoperatively. RESULTS: In the initial assessment, patients managed nonoperatively had shorter hospital stays and received fewer blood transfusions than those undergoing operation.
Splenic trauma, the way forward in reducing splenectomy: our 15-year experience
· PDF 檔案choice for grading the severity of splenic trauma.4–7 In 1987, the American Association for the Surgery of Trauma (AAST) proposed a grading criteria for splenic injury based on the estimated size of haematoma and laceration depth. This was further revised in8
Splenic Trauma by Doctor Saleem
· Splenic Trauma ,Blunt trauma abdomen, spleen anatonmy (Ligaments blood supply accessory spleens) , Mechanism of injury, Presentation (symptoms and signs) Management ( operative vs non operative ) Imaging techniques for spleen ( FAST CT Scan
Splenic injury usually results from blunt abdominal trauma. Patients often have abdominal pain, sometimes radiating to the shoulder, and tenderness. Diagnosis is made by CT or ultrasonography. Treatment is with observation and sometimes surgical repair; rarely
Multidetector-Row Computed Tomography Imaging …
· Splenic laceration in a 26-year-old male involved in a motor vehicle collision. (A) Axial and (B) MPR MDCT images demonstrate a sharply marginated, irregular, linear area of low attenuation (arrow), in keeping with a splenic laceration.
AAST Grading I) Low grade – hematoma subcapsular, <10% surface area, – laceration capsule, <1 cm parenchymal depth II) Low grade – Hematoma subcapsular, 10-50% surface area, < 5cm diameter, – laceration 1-3 cm in depth which does not involveIII) High