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Radiology, Vol 194, 97-100, Copyright © 1995 by Radiological Society of North America
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DE Lawson, JA Jacobson, DL Spizarny and T Pranikoff
Department of Diagnostic Radiology, Henry Ford Hospital, Detroit, Mich.
PURPOSE: To determine the value of follow-up computed tomography (CT) after expectant treatment in patients with clinically stable blunt splenic trauma. MATERIALS AND METHODS: Medical records and CT studies for 42 patients were reviewed, and injuries were graded on a scale of 1- 6. Patients were divided into three groups: stable patients with no follow-up CT (group 1, n = 14), stable patients with follow-up CT (group 2, n = 22), and symptomatic patients with follow-up (group 3, n = 6). Serial hemoglobin values and clinical findings at follow-up CT were reviewed. RESULTS: All patients in groups 1 and 2 remained clinically stable with good outcomes. In group 3, follow-up CT scans demonstrated worsening condition in four patients (67%), and three of the four had poor outcomes. CONCLUSION: Follow-up CT may be unnecessary in patients with clinically stable splenic trauma.
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