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A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma
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Splenic trauma: what is new?

Alexis Boscak1, Kathirkamanthan Shanmuganathan

  • 1Trauma/Emergency Section, Department of Radiology, University of Maryland Medical Center, Baltimore, MD 21201, USA. aboscak@umm.edu

Radiologic Clinics of North America
|November 22, 2011
PubMed
Summary

Imaging plays a crucial role in assessing blunt abdominal trauma. Ultrasound rapidly detects hemoperitoneum, while computed tomography (CT) details splenic injury, guiding treatment decisions.

Area of Science:

  • Radiology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Splenic injury is a common consequence of blunt abdominal trauma.
  • Accurate diagnosis and management are critical for patient outcomes.

Purpose of the Study:

  • To review the role of imaging in managing splenic trauma.
  • To outline imaging findings and indications for intervention.

Main Methods:

  • Utilized ultrasound for rapid hemoperitoneum detection.
  • Employed contrast-enhanced multidetector CT (MDCT) for detailed splenic injury assessment.
  • Reviewed imaging-based criteria for angiography and surgery.

Main Results:

  • Ultrasound is effective for initial hemoperitoneum screening.

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  • MDCT provides comprehensive evaluation of splenic integrity.
  • Specific MDCT findings guide the need for angiography and embolization.

    • Conclusions:

    • Imaging, particularly MDCT, is essential for diagnosing and grading splenic injuries.
    • Imaging findings dictate the course of management, including non-operative strategies.
    • Angiography with embolization is a key adjunct for selected splenic trauma cases.