Traumatic rupture of the spleen with special reference to angiography

Solheim, K; Aakhus, T

doi:10.1016/0020-1383(72)90106-4

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1974

2023

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“…It is not surprising, therefore, that attempts to resolve the dilemma have resulted in a wide range of investigations. Among these are abdominal paracentesis (Wilkinson, 1969) and lavage (Gill et al, 1975;Parvin et al, 1975;Benjamin et al, 1976), isotope splenic scan (Rosoff et al,3972), peritoneoscopy and angiography (Love et al, 1968;Solheim and Aakhus, 1972). Schorr and Danon (1967) described a simple noninvasive radiographic technique.…”

Section: The Lateral Decubitus View Of the Barium-filled Stomach Has mentioning

confidence: 99%

Reappraisal of the left lateral decubitus X-ray in splenic rupture

Myers

Andrew

Wilkinson

1977

Journal of British Surgery

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The lateral decubitus view of the barium-filled stomach has been reassessed in a series of 42 patients with possible splenic rupture and compared with a group of 17 patients with splenomegaly. Displacement of the gastric fundus of more than 4 cm from the inner rib margin is highly suggestive of splenic rupture. Where doubt exists, the test should be repeated within a short while. Peritoneal lavage and a full blood count investigation both add to the diagnostic accuracy.

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