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[Pseudoaneurysm in splenic injury].

Anders M Hager1, Nils-Einar Kløw, Christine Gaarder

  • 1Radiologisk avdeling, Sykehuset i Vestfold, 3103 Tønsberg. ha-hager@online.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 24, 2005
PubMed
Summary

Non-operative management of blunt splenic injuries requires vigilant follow-up imaging to detect pseudoaneurysms. Early and delayed CT scans are crucial for identifying these potentially bleeding lesions, guiding timely intervention.

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Area of Science:

  • Trauma Surgery
  • Diagnostic Radiology

Background:

  • Non-operative management is the standard for blunt splenic injuries.
  • Radiological surveillance is essential for detecting delayed bleeding complications.

Observation:

  • Two cases of blunt splenic injury with pseudoaneurysm formation are presented.
  • Pseudoaneurysms were identified on CT scans with arterial contrast phase.
  • Successful treatment with angiographic embolization was achieved.

Findings:

  • Pseudoaneurysms can develop after blunt splenic injury and may not be evident on initial CT scans.
  • Delayed bleeding from pseudoaneurysms is a significant risk.

Implications:

  • A follow-up CT scan with both arterial and venous contrast phases 5-7 days post-injury is recommended.

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  • Interventional angiography is a viable treatment for hemodynamically stable adult patients with significant splenic injury and no other need for surgery.