caa a22 4500 475755901 CHVBK 20180406123537.0 cr unu---uuuuu 170329e20000701xx s 000 0 eng 10.1007/s002470000257 doi (NATIONALLICENCE)springer-10.1007/s002470000257 The value of routine follow-up imaging in pediatric blunt liver trauma [Elektronische Daten] [Oscar Navarro, P. S. Babyn, Richard H. Pearl] Purpose. To evaluate the utility of routine follow-up computed tomography (CT) and/or ultrasound (US) scans in children with blunt hepatic trauma initially managed non-operatively. Materials and methods. Review of the records of 66 children with proven blunt liver injury on initial CT scan, who were initially managed non-operatively during the period January 1991 to December 1996. Follow-up CT and US studies were analyzed and correlated with clinical outcome. Results. Of the 66 children, 30 were not followed with any imaging study, 26 were followed with US only, 7 with CT only and 3 with US and CT. Disappearance of the liver lesion(s) was seen in 25 patients (range: 6 days - 14 months) and decrease in size was noted in 10. In one patient, who developed abdominal and right shoulder pain 10 days after presentation with subsequent hemoglobin drop, CT showed contrast medium extravasation into a hepatic hematoma from portal vein injury that required surgery. Conclusion. Our series suggests that in asymptomatic patients, US and CT follow-up studies do not provide the additional information needed for patient management. Therefore, we believe that in asymptomatic children with blunt hepatic trauma who are clinically stable, routine follow-up imaging studies are of very limited value. Springer-Verlag Berlin Heidelberg, 2000 Navarro Oscar Department of Diagnostic Imaging, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada Tel.: + 1-4 16-8 13-55 27 Fax: + 1-4 16-8 13-75 91, CA aut Babyn P. S. Department of Diagnostic Imaging, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada Tel.: + 1-4 16-8 13-55 27 Fax: + 1-4 16-8 13-75 91, CA aut Pearl Richard H. Division of General Surgery, Hospital for Sick Children, Toronto, Ontario, Canada, CA aut https://doi.org/10.1007/s002470000257 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002470000257 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Navarro Oscar Department of Diagnostic Imaging, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada Tel.: + 1-4 16-8 13-55 27 Fax: + 1-4 16-8 13-75 91, CA aut NATIONALLICENCE 700 1- Babyn P. S. Department of Diagnostic Imaging, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada Tel.: + 1-4 16-8 13-55 27 Fax: + 1-4 16-8 13-75 91, CA aut NATIONALLICENCE 700 1- Pearl Richard H. Division of General Surgery, Hospital for Sick Children, Toronto, Ontario, Canada, CA aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer