Splenic trauma: value of follow-up CT

Radiology. 1995 Jan;194(1):97-100. doi: 10.1148/radiology.194.1.7997589.


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.

MeSH terms

  • Adolescent
  • Adult
  • Animals
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Spleen / diagnostic imaging*
  • Spleen / injuries*
  • Splenic Rupture / diagnostic imaging
  • Tomography, X-Ray Computed*
  • Wounds, Nonpenetrating / diagnostic imaging*