CT Imaging of the Injured Spleen
The spleen is one of the most frequently injured organs in the abdomen. Given its important role in the immune system, splenic preservation is preferred when possible to prevent complications including overwhelming post-splenectomy infection. CT imaging plays a critical role in the evaluation of the spleen. Based on modern CT imaging and grading systems, splenic injury can be stratified by severity, and management decisions can be made. Angioembolization is frequently employed for injuries with active arterial extravasation and for higher-grade injuries.
- 9.Leeper WR, Leeper TJ, Ouellette D, Moffat B, Sivakumaran T, Charyk-Stewart T, et al. Delayed hemorrhagic complications in the nonoperative management of blunt splenic trauma: early screening leads to a decrease in failure rate. J Trauma Acute Care Surg. 2014;76(6):1349–53.CrossRefPubMedGoogle Scholar
- 15.Stassen NA, Bhullar I, Cheng JD, Crandall ML, Friese RS, Guillamondegui OD, et al. Selective nonoperative management of blunt splenic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012;73(5 Suppl 4):S294–300.CrossRefPubMedGoogle Scholar