Evaluation of need for operative intervention in blunt splenic injury: intraperitoneal contrast extravasation has an increased probability of requiring operative intervention.

World Journal of Surgery
Chih-Yuan FuWei-Ching Lin

Abstract

Angioembolization is an effective adjunct to the management of blunt splenic injuries (BSI) that are not surgically treated. However, in some cases patients are unable to undergo angioembolization due to changes in their hemodynamic condition. In this study we attempt to define the characteristics of patients who need angioembolization in high-grade BSI. We retrospectively reviewed the charts of patients with BSI between January 2004 and June 2008. Patients with contrast extravasation (CE) on computed tomography (CT) scan were enrolled. The demographics, Injury Severity Score (ISS), Abbreviated Injury Scale (AIS), the amount of blood transfused, and the type of CE were analyzed. A total of 69 patients were enrolled. Patients with intraperitoneal CE in BSI required a higher rate of immediate operation due to changed hemodynamics. Furthermore, these patients displayed higher ISS and higher blood transfusion amounts. In BSI patients, intraperitoneal CE is associated with a higher possibility of requiring surgical intervention. Early surgical intervention should be considered in BSI patients with intraperitoneal CE or with ISS ≥ 25.

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Citations

Jan 16, 2014·The Indian Journal of Surgery·Mohan Lal PariharMahesh C Misra
Sep 6, 2013·Critical Care : the Official Journal of the Critical Care Forum·Roberto CirocchiAbe Fingerhut
Aug 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J A CarrA Alzuhaili
Nov 22, 2011·Radiologic Clinics of North America·Alexis Boscak, Kathirkamanthan Shanmuganathan
Dec 17, 2010·The American Journal of Emergency Medicine·Chih-Yuan FuYi-Chieh Huang
Sep 30, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A BrillantinoG Noschese
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·G A WatsonA B Peitzman
Sep 15, 2016·World Journal of Emergency Surgery : WJES·F Van der Cruyssen, A Manzelli
Apr 28, 2016·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Jorge Roberto Marcante CarlottoRamiro Colleoni-Neto
Feb 6, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Margaret LauermanThomas Scalea
Dec 27, 2012·The Journal of Trauma and Acute Care Surgery·Nicole A StassenUNKNOWN Eastern Association for the Surgery of Trauma
Jan 29, 2013·The Journal of Trauma and Acute Care Surgery·Dominique C OlthofJ Carel Goslings
Jun 11, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Stella R SmithAdam J Brooks
Aug 23, 2017·World Journal of Emergency Surgery : WJES·Federico CoccoliniLuca Ansaloni
Aug 11, 2021·The American Journal of Emergency Medicine·Christopher JonesRobert Gekle

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