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KEY FACTS
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
- Splenic laceration, fracture, or injury; blunt injury to spleen
Definitions
- Parenchymal injury to spleen ± capsular disruption
IMAGING
General Features
Radiographic Findings
CT Findings
Ultrasonographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Reporting Tips
Selected References
- Bansal S et al: Contrast blush in pediatric blunt splenic trauma does not warrant the routine use of angiography and embolization. Am J Surg. 210(2):345-50, 2015
- Polites SF et al: Benchmarks for splenectomy in pediatric trauma: how are we doing? J Pediatr Surg. 50(2):339-42, 2015
- Dodgion CM et al: National trends in pediatric blunt spleen and liver injury management and potential benefits of an abbreviated bed rest protocol. J Pediatr Surg. 49(6):1004-8; discussion 1008, 2014
- Schuster T et al: Selective angioembolization in blunt solid organ injury in children and adolescents: review of recent literature and own experiences. Eur J Pediatr Surg. 23(6):454-63, 2013
- Martin K et al: The significance of pseudoaneurysms in the nonoperative management of pediatric blunt splenic trauma. J Pediatr Surg. 46(5):933-7, 2011
- Safavi A et al: Traumatic pseudoaneurysms of the liver and spleen in children: is routine screening warranted? J Pediatr Surg. 46(5):938-41, 2011
- Davies DA et al: What is the significance of contrast "blush" in pediatric blunt splenic trauma? J Pediatr Surg. 45(5):916-20, 2010
- van der Vlies CH et al: The failure rate of nonoperative management in children with splenic or liver injury with contrast blush on computed tomography: a systematic review. J Pediatr Surg. 45(5):1044-9, 2010
- Lynn KN et al: Pediatric blunt splenic trauma: a comprehensive review. Pediatr Radiol. 39(9):904-16; quiz 1029-30, 2009
- Holmes JH 4th et al: The failure of nonoperative management in pediatric solid organ injury: a multi-institutional experience. J Trauma. 59(6):1309-13, 2005
- Cloutier DR et al: Pediatric splenic injuries with a contrast blush: successful nonoperative management without angiography and embolization. J Pediatr Surg. 39(6):969-71, 2004
- Lutz N et al: The significance of contrast blush on computed tomography in children with splenic injuries. J Pediatr Surg. 39(3):491-4, 2004
- Stylianos S: Evidence-based guidelines for resource utilization in children with isolated spleen or liver injury. The APSA Trauma Committee. J Pediatr Surg. 35(2):164-7; discussion 167-9, 2000
- Moore EE et al: Organ injury scaling: spleen and liver (1994 revision). J Trauma. 38(3):323-4, 1995
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
- Splenic laceration, fracture, or injury; blunt injury to spleen
Definitions
- Parenchymal injury to spleen ± capsular disruption
IMAGING
General Features
Radiographic Findings
CT Findings
Ultrasonographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Reporting Tips
Selected References
- Bansal S et al: Contrast blush in pediatric blunt splenic trauma does not warrant the routine use of angiography and embolization. Am J Surg. 210(2):345-50, 2015
- Polites SF et al: Benchmarks for splenectomy in pediatric trauma: how are we doing? J Pediatr Surg. 50(2):339-42, 2015
- Dodgion CM et al: National trends in pediatric blunt spleen and liver injury management and potential benefits of an abbreviated bed rest protocol. J Pediatr Surg. 49(6):1004-8; discussion 1008, 2014
- Schuster T et al: Selective angioembolization in blunt solid organ injury in children and adolescents: review of recent literature and own experiences. Eur J Pediatr Surg. 23(6):454-63, 2013
- Martin K et al: The significance of pseudoaneurysms in the nonoperative management of pediatric blunt splenic trauma. J Pediatr Surg. 46(5):933-7, 2011
- Safavi A et al: Traumatic pseudoaneurysms of the liver and spleen in children: is routine screening warranted? J Pediatr Surg. 46(5):938-41, 2011
- Davies DA et al: What is the significance of contrast "blush" in pediatric blunt splenic trauma? J Pediatr Surg. 45(5):916-20, 2010
- van der Vlies CH et al: The failure rate of nonoperative management in children with splenic or liver injury with contrast blush on computed tomography: a systematic review. J Pediatr Surg. 45(5):1044-9, 2010
- Lynn KN et al: Pediatric blunt splenic trauma: a comprehensive review. Pediatr Radiol. 39(9):904-16; quiz 1029-30, 2009
- Holmes JH 4th et al: The failure of nonoperative management in pediatric solid organ injury: a multi-institutional experience. J Trauma. 59(6):1309-13, 2005
- Cloutier DR et al: Pediatric splenic injuries with a contrast blush: successful nonoperative management without angiography and embolization. J Pediatr Surg. 39(6):969-71, 2004
- Lutz N et al: The significance of contrast blush on computed tomography in children with splenic injuries. J Pediatr Surg. 39(3):491-4, 2004
- Stylianos S: Evidence-based guidelines for resource utilization in children with isolated spleen or liver injury. The APSA Trauma Committee. J Pediatr Surg. 35(2):164-7; discussion 167-9, 2000
- Moore EE et al: Organ injury scaling: spleen and liver (1994 revision). J Trauma. 38(3):323-4, 1995
