title: [Blunt abdominal trauma: differential diagnosis of splenic lobulation and splenic rupture].
abstract: In a retrospective study, we analyzed the data of 232 patients with blunt abdominal trauma between January 1, 1984, and December 31, 1988. In emergency ultrasound, we detected 4 patients with a smooth disruption of the splenic outline combined with free peritoneal fluid around the spleen. Because of the blunt abdominal trauma, a rupture of the spleen had to be excluded. In two of these 4 cases, we decided for laparotomy. Intraoperatively, we found a splenic lobulation and no splenic injury in both cases. We conclude that an emergency sonographic examination of the spleen, it should be kept in mind that the anatomical variation of a splenic lobulation might mimic a rupture of the spleen.
authors.affiliation: Chirurg, Universitätsklinik Tübingen.
authors.forename: A
authors.initials: A
authors.lastname: el Mouaaouy
authors.forename: T T
authors.initials: TT
authors.lastname: Zittel
authors.forename: H D
authors.initials: HD
authors.lastname: Becker
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging* / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery; D013154:Spleen / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D013161:Splenic Rupture / Q000000981:diagnostic imaging* / Q000601:surgery; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging* / Q000601:surgery
vernacular_title: Stumpfes Bauchtrauma: Milzlappung als Differentialdiagnose einer Milzruptur.