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CLINICAL FEATURES, IMAGING FINDINGS AND RESULTS OF EMBOLIZATION IN TREATMENT OF BLUNT SPLENIC INJURY
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Abstract
Purpose: To describe clinical features, imaging findings and evaluate the results of embolization in treatment of blunt splenic injury. Object and Method: Descriptive study in 49 patients with blunt splenic injury addmitted to Viet Duc Hospital were conservative management by embolization from January 2017 to Febuary 2019. Results: Most of patients with blunt splenic injury have left upper quadrant pain (67,3%) and hemodynamically stable (83,7%) on admission. On plain abdominal x ray, two most common findings are peritoneum effusion and enlarging spleen (76.9% and 53.8%). On sonography, hemoperitoneum and intraparenchymal laceration are the most common findings (87.8% and 63.3%). According to grading of the American Association of Trauma Surgeons (AAST), including: 1(2.1%) grade I, 7(14.7%) grade II, 20(41.6%) grade III, 20 (41.6%) grade IV. Primary clinical success rate was 95.9%. Among 22 patients who required blood transfusion, the average amount of blood transfusion was 1.28 ± 2.02 units. The mean hospital stay was 10.8±6.7 days. Fever and pain in splenic area are common minor complications (28.6 and 20.4), no patient has major complications required treatment. Conclusion: MSCT is the best diagnostic imaging method in diagnosis blunt splenic injury. Splenic artery embolization is a safe treatment with a high success rate in conservative management of blunt splenic injury.
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Keywords
Blunt splenic injury, clinical features, imaging findings, embolization
References
2. de Schepper, A.M., Medical imaging of the spleen. 2000: Springer Science & Business Media.
3. Teuben, M.P.J., et al., Safety of selective nonoperative management for blunt splenic trauma: the impact of concomitant injuries. Patient Safety in Surgery, 2018. 12(1): p. 32.
4. Jabbour, G., et al., Clinical and radiological presentations and management of blunt splenic trauma: a single tertiary hospital experience. 2017. 23: p. 3383.
5. Yang, K., et al., Clinical features and outcomes of blunt splenic injury in children: A retrospective study in a single institution in China. 2017. 96(51).
6. Siniluoto, T., et al., Ultrasonography in traumatic splenic rupture. 1992. 46(6): p. 391-396.
7. Monaco, D., et al., The role of arterial embolization in blunt splenic injury. 2011. 116(3): p. 454-465.
8. Marmery, H., et al., Optimization of Selection for Nonoperative Management of Blunt Splenic Injury: Comparison of MDCT Grading Systems. American Journal of Roentgenology, 2007. 189(6): p. 1421-1427.