Scientific article

Isolated Blunt Splenic Trauma in Adults

Published inDigestive surgery, vol. 14, no. 4, p. 277-283
Publication date1997

Several CT scan scores have been proposed to discriminate between splenic injuries requiring surgical intervention, and those that may be treated conservatively. The aim of this study is to compare three selected CT scan scores (Buntain, Mirvis, Resciniti) in their ability to correctly define the proper course of therapy following splenic injury. 44 adult patients presenting an isolated splenic trauma, confirmed by CT scan on admission and treated solely according to clinical criteria, have been studied. The 44 CT scans were retrospectively classified according to the three CT scan scoring systems. Correlation with the treatment performed allows the specificity and sensitivity of each score to be calculated and compared. The best score (Resciniti) uses a combination of parenchymal and intra-abdominal liquid scores. The use of such a scoring system alone to dictate therapy would have resulted in either an increased rate of surgical intervention, or an unacceptable rate of failure of conservative treatment. However, the determination of the expected rate of failure of conservative treatment can be useful in determining the level and frequency of serial surveillance examinations.

  • CT scan scores
  • Splenic injuries
Citation (ISO format)
SAVIOZ, Daniel et al. Isolated Blunt Splenic Trauma in Adults. In: Digestive surgery, 1997, vol. 14, n° 4, p. 277–283. doi: 10.1159/000172558
Main files (1)
Article (Published version)
ISSN of the journal0253-4886

Technical informations

Creation02/26/2013 11:21:00 AM
First validation02/26/2013 11:21:00 AM
Update time03/14/2023 8:04:14 PM
Status update03/14/2023 8:04:14 PM
Last indexation01/16/2024 1:16:39 AM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack