[Ultrasound and guided aspiration puncture in delayed bleeding of splenic rupture (author's transl)].
We report on ultrasonic findings on 6 patients who suffered from subcapsular or delayed traumatic bleeding of the spleen. All patients had been hospitalized in our department of internal medicine because of a misinterpretation of their clinical symptoms. In 4 patients we secured the intraperitoneal bleeding with ultrasonically guided fine needle aspiration puncture. In case of a suspected ruptured spleen we suggest ultrasonic tomography with guided aspiration puncture at the beginning of diagnostic measures before invasive procedures (peritoneal lavage, angiography) and during follow-up.
D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D005260:Female; D006465:Hemoperitoneum / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis; D013161:Splenic Rupture / Q000175:diagnosis*; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000175:diagnosis*
Ultraschalltomographie und gezielte Peritonealpunktion bei verzögerter traumatischer Milzblutung.