delayed splenic rupture; normal appearing spleen on the initial multidetector computed tomography (mdct) can sometimes be misleading

Delayed Splenic Rupture; Normal Appearing Spleen on the Initial Multidetector Computed Tomography (MDCT) Can Sometimes Be Misleading

INTRODUCTION Delayed splenic rupture (DSR) is an unusual outcome following blunt abdominal trauma. Although DSR is defined as bleeding more than 48 hours after blunt trauma in a previously hemodynamically stable patient, a review of the reported cases in the literature shows that in almost all of the cases the initial CT imaging revealed some form of damage to the spleen. CASE PRESENTATION He...

Loop type cecal volvulus: Multidetector computed tomography (MDCT) findings.

A 67-year-old woman presented in the emergency room with abdominal pain for 2 hours. Physical examination showed abdominal distension and diffuse pain without signs of peritoneal irritation. A plain abdominal radiography showed distension of cecum located ectopically in the left upper quadrant, with little aeration of the distal colon. Given these findings, an intravenous contrast enhanced mult...

Usefulness of Multidetector Computed Tomography(MDCT)for the Initial Evaluation of Multiple Blunt Trauma of the Trunk

Background:Focused assessment with sonography for trauma(FAST)is useful for detecting hemoperitoneum (HE) in trauma patients in the emergency room (ER), but, patients’condition cannot be evaluated adequately by FAST alone. CT is useful for the diagnosis of multiple trauma,but has certain drawbacks. We evaluated the utility of mutidetector computed tomography(MDCT)as the initial tool for proper ...

Delayed enhancement by multidetector computed tomography in endomyocardial fibrosis.

McMurray JJ, Michelson EL, Olofsson B, Östergren J. Effects of candesartan in patients with chronic heart failure and preserved leftventricular ejection fraction: the CHARM-Preserved Trial. Lancet 2003;362:777–781. 31. Hobbs FDR, Roalfe AK, Davis RC, Davies MK, Hare R. Prognosis of all-cause heart failure and borderline left ventricular systolic dysfunction: 5-year mortality follow-up of the Ec...

Diagnosis of acute myopericarditis by delayed-enhancement multidetector computed tomography.

Splenic infarction in polycythaemia vera: can the spleen be saved?

Polycythaemia vera is associated with thrombotic phenomenon due to hyperviscosity of blood. Splenic infarction with splenomegaly is a catastrophic complication usually requiring splenectomy. We describe a case of splenic infarction as an initial manifestation of polycythaemia vera which was treated with serial phlebotomies and hydroxyurea alone, without the need for surgery.