Computed tomography of splenic trauma.

Journal Article (Journal Article)

Fifty patients with abdominal trauma and possible splenic injury were evaluated by computed tomography (CT). CT correctly diagnosed 21 of 22 surgically proved traumatic lesions of the spleen (96%). Twenty-seven patients had no evidence of splenic injury. This was confirmed at operation in 1 patient and clinical follow-up in 26. There were one false negative and one false positive. In 5 patients (10%), CT demonstrated other clinically significant lesions, including hepatic or renal lacerations in 3 and large retroperitoneal hematomas in 2. In adolescents and adults, CT is an accurate, noninvasive method of rapidly diagnosing splenic trauma and associated injuries. Further experience is needed to assess its usefulness in evaluating splenic injuries in infants and small children.

Full Text

Duke Authors

Cited Authors

  • Jeffrey, RB; Laing, FC; Federle, MP; Goodman, PC

Published Date

  • December 1, 1981

Published In

Volume / Issue

  • 141 / 3

Start / End Page

  • 729 - 732

PubMed ID

  • 7302229

International Standard Serial Number (ISSN)

  • 0033-8419

Digital Object Identifier (DOI)

  • 10.1148/radiology.141.3.7302229


  • eng

Conference Location

  • United States