Evaluation Of A Traumatic Spleen Laceration With Spontaneous Regression By Selective Spleen Scintigraphy
Küçük, O. N., Gültekin, S. S., & Aras, G. (2007). evaluation of a traumatic spleen laceration with spontaneous regression by selective spleen scintigraphy. Clinical nuclear medicine, 32(2), 141–144. https://doi.org/10.1097/01.rlu.0000251950.88850.79
View Original Source →Abstract
The spleen is the most frequently injured organ after blunt trauma to the abdomen. The blunt abdominal trauma can be treated successfully with a nonoperative approach, but it is particularly important in young children owing to the increased risk of overwhelming sepsis and death after splenectomy.1–4 Patients with hemodynamicaly stable splenic injuries after blunt trauma are followed up by several imaging modalities, which are computed tomography (CT), ultrasonography (USG), and spleen scintigraphy.5–7 The authors describe a 4-year-old boy who was admitted to the emergency service after a traffic accident.
Case Details
Disease Location
Spleen
Personal Characteristics
4-year old boy in traffic accident
Clinical Characteristics
Blunt trauma to spleen; hemodynamically stable. Splenic parenchymal laceration was discerned in the CT. Irregular shape and contours, a linear hypoactive area in the upper third portion, and decreased activity in the upper pole of the spleen were observed in the early selective spleen scintigraphy with damaged tc-99m rbc.
Remission Characteristics
Follow-up scintigraphy was performed 3 months later. The linear hypoactivity in the upper third and nonhomogenous decreased activity had disappeared.