Role of Computed Tomography in Traumatic Splenic Injuries

Background: Computed tomography has been used with better specificity to evaluate patients with blunt splenic trauma who are FAST (focused assessment with sonography for trauma) positive and indeterminate and clinically suspicious cases of solid organ injury. Aim & Objectives: To categorize different types of splenic injuries based on AAST splenic injury scale 2018 revision. Methods: A retrospective observational study of twenty two patients was conducted in the Department of Radiodiagnosis, PESIMSR medical college, kuppam. All patients with traumatic splenic injuries were included. Twenty-two hemodynamically stable patients with blunt splenic injury underwent multidetector CT at admission to the hospital between December 2017 and January 2021. Ultrasound abdomen screening was done with Voluson, followed by contrast MDCT on 16 Slice GE. Results: Twenty-two patients with splenic injury underwent multidetector CT. Based on the AAST score, 18 were classified as either I / II / III / IV and kept under observation ( 18 out of 22 [82%]). Five were managed with the splenic intervention (surgery, 4 out of 22 [18 %]). Conclusion: This study showed that multidetector CT grade is the best guide for the choice of patients for observation versus splenic intervention.