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Date Published: 30/03/2023
Abstract Views: 416
Views PDF: 298
DOI: https://doi.org/10.51298/vmj.v524i2.4825
Issue
Vol. 524 No. 2 (2023)
Section
Các bài báo
How to Cite
Lê, T. D. ., Lê, X. K. ., & Nguyễn, V. T. . (2023). CLINICAL FEATURES, IMAGING FINDINGS AND RESULTS OF EMBOLIZATION IN TREATMENT OF BLUNT SPLENIC INJURY. Vietnam Medical Journal, 524(2). https://doi.org/10.51298/vmj.v524i2.4825

CLINICAL FEATURES, IMAGING FINDINGS AND RESULTS OF EMBOLIZATION IN TREATMENT OF BLUNT SPLENIC INJURY

Thanh Dũng Lê1,, Xuân Khôi Lê2, Văn Thắng Nguyễn3
1 VNU Hanoi-University of Medicine and Pharmacy
2 Hong Ngoc hospital
3 Hai Duong Medical technical University

Main Article Content

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.

Article Details

Keywords

Blunt splenic injury, clinical features, imaging findings, embolization

References

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