Patterns of fluid accumulation in splenic trauma: demonstration by CT.

Journal Article (Journal Article)

Detection of hemoperitoneum in splenic trauma is as important as detection of the visceral injury itself. Observation of a consistent spectrum of fluid accumulation in patients with splenic trauma prompted us to investigate the patterns in more detail. Twenty-three computed tomographic (CT) scans in 20 patients were evaluated with respect to presence of fluid collections in various peritoneal and retroperitoneal compartments. These were correlated with severity of injury and operative and pathologic findings. Hemoperitoneum was detected in the pelvis (65%), paracolic gutters (52%), left subphrenic space (48%), perihepatic space (48%), Morison's pouch (17%) and in the lesser sac (9%). In addition to free fluid, pleural fluid (39%) and retroperitoneal hematoma in the left anterior pararenal space (13%) were also encountered. These ancillary findings may help to substantiate the diagnosis of splenic trauma in equivocal cases, particularly when the spleen itself is obscured by artifacts. Early detection may reduce mortality and morbidity associated with splenic trauma.

Full Text

Duke Authors

Cited Authors

  • Balachandran, S; Leonard, MH; Kumar, D; Goodman, P

Published Date

  • November 1994

Published In

Volume / Issue

  • 19 / 6

Start / End Page

  • 515 - 520

PubMed ID

  • 7820023

International Standard Serial Number (ISSN)

  • 0942-8925

Digital Object Identifier (DOI)

  • 10.1007/BF00198253


  • eng

Conference Location

  • United States