Access the full text.
Sign up today, get DeepDyve free for 14 days.
K. Moon, M. Federle (1983)
Computed tomography in hepatic trauma.AJR. American journal of roentgenology, 141 2
S. Berman, E. Mooney, L. Weireter (1992)
Late fatal hemorrhage in pediatric liver trauma.Journal of pediatric surgery, 27 12
(1989)
Canadian Association of Paediatric Surgeons: Liver trauma study. Trauma Committee.Journal of pediatric surgery, 24 10
(1993)
Splenic trauma. In: Eichelberger MR (ed) Pediatric Trauma
K. Oldham, K. Guice, F. Ryckman, R. Kaufman, L. Martin, J. Noseworthy (1986)
Blunt liver injury in childhood: evolution of therapy and current perspective.Surgery, 100 3
J. Galat, E. Grisoni, M. Gauderer (1990)
Pediatric blunt liver injury: establishment of criteria for appropriate management.Journal of pediatric surgery, 25 11
S. Stylianos, S. Wootton, D. Lund, W. Hendren (1993)
Treatment of spleen and liver injuries in children without operation or transfusionJournal of Pediatric Surgery, 28
S. Gans, B. Shandling (1979)
The Canadian Association of Paediatric SurgeonsJournal of Pediatric Surgery, 14
P. Berger, J. Kuhn (1981)
CT of blunt abdominal trauma in childhood.AJR. American journal of roentgenology, 136 1
H. Ford, M. Gardner, M. Meza, E. Wiener, J. Lynch (1993)
Nonoperative management of splenic injuries in children without blood transfusionJournal of Pediatric Surgery, 28
M. Karp, D. Cooney, G. Pros, B. Newman, T. Jewett (1983)
The nonoperative management of pediatric hepatic trauma.Journal of pediatric surgery, 18 4
M. Malangoni, J. Cué, M. Fallat, S. Willing, J. Richardson (1990)
Evaluation of splenic injury by computed tomography and its impact on treatment.Annals of surgery, 211 5
D. Macgillivray, R. Valentine (1989)
Nonoperative management of blunt pediatric liver injury--late complications: case report.The Journal of trauma, 29 2
P. Feliciano, R. Mullins, D. Trunkey, R. Crass, J. Beck, M. Helfand (1991)
A decision analysis of traumatic splenic injuries.The Journal of trauma, 33 3
G. Taylor, M. Fallat, B. Potter, M. Eichelberger (1988)
The role of computed tomography in blunt abdominal trauma in children.The Journal of trauma, 28 12
M. Federle, B. Griffiths, H. Minagi, R. Jeffrey (1987)
Splenic trauma: evaluation with CT.Radiology, 162 1 Pt 1
M. Federle, R. Jeffrey (1983)
Hemoperitoneum studied by computed tomography.Radiology, 148 1
R. Kaufman, R. Towbin, D. Babcock, M. Gelfand, K. Guice, K. Oldham, J. Noseworthy (1984)
Upper abdominal trauma in children: imaging evaluation.AJR. American journal of roentgenology, 142 3
S Brick, G Taylor, B Potter, M. Eichelberger (1987)
Hepatic and splenic injury in children: role of CT in the decision for laparotomy.Radiology, 165 3
James Lynch, Henri Ford, Mary Gardner, Eugene Weiner (1993)
Is early discharge following isolated splenic injury in the hemodynamically stable child possible?Journal of pediatric surgery, 28 10
G. Luna, E. Dellinger (1987)
Nonoperative observation therapy for splenic injuries: a safe therapeutic option?American journal of surgery, 153 5
M. Federle (1982)
Computed tomography in blunt abdominal trauma.Archives of surgery, 117 5
247 25 25 5 5 L. Ruess C. J. Sivit M. R. Eichelberger G. A. Taylor S. J. Bond Department of Diagnostic Imaging and Radiology Children's National Medical Center 111 Michigan Avenue N. W. 20010-2970 Washington DC USA George Washington University School of Medicine and Health Sciences Washington DC USA Department of Pediatrics Children's National Medical Center 111 Michigan Avenue N. W. 20010-2970 Washington DC USA Department of Surgery Children's National Medical Center 111 Michigan Avenue N. W. 20010-2970 Washington DC USA Russell H. Morgan Department of Radiology Johns Hopkins Medical Institutions 600 N. Wolfe St. 21205 Baltimore MD USA Department of Surgery Kosair Children's Hospital P.O. Box 35070 40232-5070 Louisville KY USA Abstract The purpose of this report is to compare a computed tomography (CT) injury severity scale for hepatic and splenic injury with the following outcome measures: requirement for surgical hemostasis, requirement for blood transfusion and late complications. Sixty-nine children with isolated hepatic injury and 53 with isolated splenic injury were prospectively classified at CT according to extent of parenchymal involvement. Clinical records were reviewed to determine clinical outcome. Ninety-seven children (80%) were managed non-operatively without transfusion. One child with hepatic injury required surgical hemostasis, and 17 (25%) required transfusion of blood. Increasing severity of hepatic injury at CT was associated with progressively greater frequency of transfusion ( P =0.002 by χ 2 -test). One child with splenic injury underwent surgery and eight (15%) required transfusion of blood. Splenic injury grade at CT did not correlate with frequency ( P =0.41 by χ 2 -test) or amount ( P =0.35 by factorial analysis of variance) of transfusion. There was one late complication in the nonsurgical group. A majority of children with hepatic and splenic injury were managed non-operatively without requiring blood transfusion. The severity of injury by CT scan did not correlate with need for surgery. Increasing grade of hepatic injury at CT was associated with increasing frequency of blood transfusion. CT staging was not discriminatory in predicting transfusion requirement in splenic injury.
Pediatric Radiology – Springer Journals
Published: Jul 1, 1995
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.