title: Intra-abdominal solid organ injuries: an enhanced management algorithm.
abstract: The organ injury scale grading system proposed by the American Association for the Surgery of Trauma provides guidelines for operative versus nonoperative management in solid organ injuries; however, major shortcomings of the American Association for the Surgery of Trauma injury scale may become apparent with low-grade injuries, in which conservative management may fail. Nonoperative management of common intra-abdominal solid organ injuries relies increasingly on computed tomographic findings and other clinical factors, including patient age, presence of concurrent injuries, and serial clinical assessments. Familiarity with characteristic imaging features is essential for the prompt diagnosis and appropriate treatment of blunt abdominal trauma. In this pictorial essay, the spectrum of the American Association for the Surgery of Trauma organ injury scale grading system is illustrated, and a multidisciplinary management algorithm for common intra-abdominal solid organ injuries is proposed.
authors.affiliation: Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Nima
authors.initials: N
authors.lastname: Kokabi
authors.affiliation: Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Waqas
authors.initials: W
authors.lastname: Shuaib
authors.affiliation: Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Minzhi
authors.initials: M
authors.lastname: Xing
authors.affiliation: Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Elie
authors.initials: E
authors.lastname: Harmouche
authors.affiliation: Department of Surgery, Morehouse School of Medicine, Atlanta, Georgia, USA.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Wilson
authors.affiliation: Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Jamlik-Omari
authors.initials: JO
authors.lastname: Johnson
authors.affiliation: Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia, USA. Electronic address: faisal.khosa@emoryhealthcare.org.
authors.forename: Faisal
authors.initials: F
authors.lastname: Khosa
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging* / Q000628:therapy*; D000465:Algorithms; D003287:Contrast Media; D006801:Humans; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging* / Q000628:therapy*
chemical_list: D003287:Contrast Media
keywords: Blunt abdominal trauma; Hepatic; Kidney; Liver; Pancreas: Computed tomography; Pitfalls; Renal; Spleen