title: [The ultrasound microbubble contrast in the diagnosis and the decisional iter of the treatment of the traumatic spleen lesions].
abstract: OBJECTIVE
  To estimate our 3-year experience on the diagnosis and monitoring of the spleen traumatic lesions with the employment of ultrasound microbubbles contrast.
  
  
  METHODS
  From the 174 patients who were joints to our department in regimen of urgency for abdominal traumatic lesions, we have estimated 24 patiens including our criteria. The selected patients have been subordinate to the echographic examination with microbubbles contrast and to TC multi-detector (MDCT) with contrast with multiphasic technique.
  
  
  RESULTS
  The echographic examination has evidenced 4 patients with abdominal fluid deposit without spleen parenchimal damage and 8 patients with morphofunctional alterations of the spleen. After the introduction of the contrast in 12 patients it has been evidenced a homogenous enhancement of the spleen parenchyma and in the remaining 12 patients the enhancement has turned out dishomogenous. From 24 patients examinated with CT with contrast, the traumatic breach of the spleen was demonstrated in same the 12 patients.
  
  
  CONCLUSIONS
  It comes noticed the increased sensibility of the methodical CT with contrast and microbubbles contrast, that reaches up the 100% respect of the traditional echography whose sensibility turns out 66%. The CT remains the methodical gold-standard for the spleen traumatic lesions. Our experience suggests that the microbubbles contrast introduces the same one sensibility and it is preferred for follow-up and the corrected management of the patient.
authors.affiliation: Dipartimento di Scienze Chirurgiche Generali e Specialistiche Sezione di Chirurgia Generale "V. Oliva", Università degli Studi di Bari. Nikolaosfiliotis@libero.it
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Filiotis
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Sammarco
authors.forename: Giovanni
authors.initials: G
authors.lastname: Teodossiu
authors.forename: Rita
authors.initials: R
authors.lastname: Lazzaro
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Carbonara
authors.forename: Filippa
authors.initials: F
authors.lastname: Cuccia
authors.forename: Francesco
authors.initials: F
authors.lastname: Ambrosino
authors.forename: Emanuela
authors.initials: E
authors.lastname: Marra
authors.forename: Edoardo
authors.initials: E
authors.lastname: Triggiani
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Selvaggio
authors.forename: Antonella
authors.initials: A
authors.lastname: Campisi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Caruso
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging*; D003287:Contrast Media; D003657:Decision Making; D003937:Diagnosis, Differential; D006801:Humans; D045423:Microbubbles; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D014463:Ultrasonography
chemical_list: D003287:Contrast Media