CT-based Classification of Blunt Splenic Trauma and Correlation with Treatment

Accidental traums is the third most common cause of death in the Korea. Computed Tomography(CT) has been the champion diagnosis and management planning of abdominal injuries its use has decreased the number of negative exploratory laparotomies significantly, A CT-based injury severity of four grades was vised and applied in 24 patients with blond splenic injury as the sole or predominant intraperitoneal injury detedted with Preoperative CT. While patients with high grades of splenic injury generally required early surgery, eight(33%) of 24 patients with initial grade 3 or 2 injury were treated successfully without surgery. Thirteen(54%) or 24 patients with initial all grades ten injury wereted successfully wihtout surgery. Results show that while CT remains an accurate method of indeutifying and quantifying initial splenic injury, as well as documenting progression or healing of critical injury, all of went on to manifest splenic injury documented by repeat CT examination after onset of clinical symptom.