Journals / Selçuk Tıp Dergisi / 2000 / Cilt: 16 - Sayı: 1
Delayed diagnosis of subcapsular hematoma of the spleen
- Journal
- Selçuk Tıp Dergisi
- Pages
- 55–58
- DOI
- —
Abstract
Nowadays, patients suffering from blunt abdominal trauma are examined by abdominal ultrasonography, routinly. Subcapsular bleeding of the spleen in these patients can be overlooked if there isn't free fluid in the abdominal cavity, ultrasonographic examination carried out in suboptimal contitions and after the trauma attention was intensified on the central nervous sysetm injury. In 3 cases who have been examined by abdominal ultrasonography just after the trauma, any pathological finding was not been determined related with their spleen also examined by upper abdominal computed tomography because of their some complaints after the trauma (1 wk-1 yr) and splenic subcapsular hematomas were establised in these patients. In patients with delayed development of splenic subcapsular hematoma following abdominal trauma can cause late rupture of the spleen, so we think that the patients suffering from blunt abdominal trauma must be examined by the control radiological methods after the trauma.
Özet
Günümüzde künt karin travmasi olan hastalarda batin ultrasonografik incelemesi rutin olarak yapilmaktadir.Batin içinde serbest sivi saptanmamasi, ultrasonografik incelemenin suboptimal sartlarda yapilmasi ve travma sonrasinda dikkatin santral sinir sistemi yaralanmalarina yöneltilmesi nedeniyle dalakta subkapsülerkanamasi olan olgular kolaylikla gözden kaçabilmektedir. Travmadan hemen sonra rutin batin ultrasonorafikincelemeleri yapilan ve dalakta patolojik bulgu saptanmayan, 3 olgunun farkli zamanlarda (1 hafta-1 yil), degisik sikayetleri nedeniyle yapilan üst abdominal bilgisayarli tomografik incelemelerinde dalakta subkapsüler hematom saptandi. Dalakta subkapsüler hematom tanisi geçikmis olgularda,g eç dönemlerde rüptür olabileceginden dolayi künt karin travmasi ile basvuran hastalarin kontrol radyolojik incelemelerinin uygun olacagi kanisindayiz.