caa a22 4500 465771777 CHVBK 20180323111931.0 cr unu---uuuuu 170327e19901101xx s 000 0 eng 10.1007/BF00174345 doi (NATIONALLICENCE)springer-10.1007/BF00174345 A comparison between scintigraphy and computed abdominal tomography in blunt liver and spleen injuries in children [Elektronische Daten] [D. Bass, M. Mann, B. Cremin, S. Cywes] Fifty consecutive paediatric patients with objective clinical signs of blunt abdominal trauma underwent both computed abdominal tomography (CT) and liver-spleen scintigraphy (LSS). All were managed non-operatively with no morbidity or mortality. Five splenic and 13 liver injuries were visualised on CT while LSS revealed 9 splenic and 29 liver injuries. Where injury to either organ was detected by both modalities, there was good correlation anatomically and also as to the extent of injury. LSS demonstrated injuries not shown on CT, which appeared to detect only more extensive injuries. We conclude that scintigraphy may be the more sensitive and therefore more appropriate method when blunt injury to the liver and spleen alone is clinically suspected. Abdominal CT remains the early investigation of choice in patients with clinical evidence of haemoperitoneum associated with shock or multiple injuries, particularly when injury to the kidneys as well as to the liver and spleen is suspected or when a concomitant brain scan is indicated. Springer-Verlag, 1990 Blunt trauma nationallicence Imaging nationallicence Children nationallicence Bass D. Departments of Paediatric Surgery, Paediatrics and Child Health and Radiology, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut Mann M. Departments of Paediatric Surgery, Paediatrics and Child Health and Radiology, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut Cremin B. Departments of Paediatric Surgery, Paediatrics and Child Health and Radiology, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut Cywes S. Departments of Paediatric Surgery, Paediatrics and Child Health and Radiology, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 443-445 0179-0358 5:6<443 1990 5 383 https://doi.org/10.1007/BF00174345 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00174345 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bass D. Departments of Paediatric Surgery, Paediatrics and Child Health and Radiology, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut NATIONALLICENCE 700 1- Mann M. Departments of Paediatric Surgery, Paediatrics and Child Health and Radiology, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut NATIONALLICENCE 700 1- Cremin B. Departments of Paediatric Surgery, Paediatrics and Child Health and Radiology, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut NATIONALLICENCE 700 1- Cywes S. Departments of Paediatric Surgery, Paediatrics and Child Health and Radiology, University of Cape Town and Red Cross War Memorial Children's Hospital, 7700, Rondebosch, Republic of South Africa aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 443-445 0179-0358 5:6<443 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer