Sixteen patients with abdominal trauma and possible spleen injury were screened by radionuclide imaging. A multiple view negative examination appears to weigh heavily against any significant splenic injury requiring surgical intervention. Angiography is probably not needed if the spleen scintigram is negative. False positive examinations may be minimized by performing oblique and angulated views, bearing in mind the potential existence of normal grooves and clefts such as rib imprints. Unexplained bands and areas of diminished activity may be encountered. Careful correlation with the patient's history, physical findings, and clinical course should clarify such problems. Angiography may be necessary in many of these cases.
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging