Splenic trauma: value of follow-up CT.

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.