Radionuclide scintigraphy: a valuable diagnostic aid in children with splenic trauma.

Preserving the spleen in children with splenic trauma remains a primary concern of surgeons. Nonoperative management has been encouraged in recent years, but this must be balanced against the risk of delayed rupture of the spleen and failure of diagnose other causes of intra-abdominal bleeding. The author reviews his experience over a 10-year period with 36 children who had a diagnosis of ruptured spleen. The role of radionuclide scintigraphy of the spleen has been reviewed recently with particular reference to its influence on the need for laparotomy. The indications for laparotomy and the management of splenic injuries are discussed. In the author's opinion, radionuclide scintigraphy is a valuable diagnostic aid in children with suspected splenic trauma.