Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
Treatment Strategies for Traumatic Splenic Injuries
Jun SasakiRyouhei SuzukiYouhei KitamuraKazuaki YokomizoYoshitomo Namba
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Keywords: NOM, TAE
JOURNAL FREE ACCESS

2012 Volume 32 Issue 7 Pages 1163-1167

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Abstract

The treatment strategies for traumatic splenic injuries have shifted from surgical intervention to nonoperative management (NOM) including conservative medical treatment and transcatheter arterial embolization (TAE). Recent advances in multi-detector CT allow rapid and accurate diagnosis of the injuries. In particular, arterial and equilibrium phase imaging enable the detection of the presence/absence of extravasation and pseudoaneurysms. Moreover, prompt and selective hemostasis can be achieved with the widespread use of TAE. Our success rate with NOM was 92.5%. However, surgical treatment was also performed in 22% of the total number of cases. TAE and surgical intervention were needed in 78% of gradeIIIb cases. Comprehensive evaluation of vital signs, contrast-enhanced CT images and associated injuries are important for diagnosis and treatment of traumatic splenic injuries.

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© 2012 Japanese Society for Abdominal Emergency Medicine
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