Radionuclide imaging in the nonsurgical treatment of liver and spleen trauma

Letty G. Lutzker, Kwang Ja Chun

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Twenty-nine patients had splenic or hepatic defects on99mTc sulfur colloid scintigraphy performed after abdominal trauma. All were treated conservatively. One additional patient had a scan after a laceration was oversewn. Followup scans in 24 patients 1 to 13 months later showed resolution that was complete in nine, partial in 12, and unchanged in three. No defects enlarged. All but two patients were completely asymptomatic; two children with occasional unexplained upper abdominal pain had progressively resolving splenic defects. We conclude that surgery may not always be necessary for liver-spleen injury, that radionuclide imaging is useful in evaluation of healing as well as in initial diagnosis, and that the risk of 'delayed’ rupture is much smaller than heretofore feared.

Original languageEnglish (US)
Pages (from-to)382-386
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume21
Issue number5
DOIs
StatePublished - May 1981

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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