title: Management of splenic trauma: a new CT-guided splenic injury grading system.
abstract: The aim of this study was to assess a newly developed computerized tomography (CT)-based splenic injury index in predicting the outcome of splenic injury. Twelve patients with isolated splenic injuries were studied. Splenic parenchymal injury was graded from 1 to 4 based on CT. The splenic injury index was obtained by multiplying the parenchymal score by the volume haemoperitoneum, which was measured on the CT scanner. The 12 patients with CT-proven splenic injuries had a mean injury index of 193.5 +/- 191 (mean +/- s.d.). The 3 patients who failed conservative management had a mean index of 475 +/- 50, compared with an index of 99.5 +/- 100 in the nine managed non-operatively (P less than 0.001). This new CT-based splenic injury index allows morphological assessment of splenic injury and may predict the outcome of splenic trauma.
authors.affiliation: Department of Surgery, Flinders Medical Centre, Bedford Park, South Australia.
authors.forename: M
authors.initials: M
authors.lastname: Sugrue
authors.forename: A
authors.initials: A
authors.lastname: Knox
authors.forename: R
authors.initials: R
authors.lastname: Sarre
authors.forename: N
authors.initials: N
authors.lastname: McIntosh
authors.forename: J
authors.initials: J
authors.lastname: Toouli
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D013156:Splenectomy; D014057:Tomography, X-Ray Computed; D014947:Wounds and Injuries / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery