[Blunt abdominal trauma: differential diagnosis of splenic lobulation and splenic rupture].

Ultraschall in der Medizin (Stuttgart, Germany : 1980)

PubMedID: 1871577

el Mouaaouy A, Zittel TT, Becker HD. [Blunt abdominal trauma: differential diagnosis of splenic lobulation and splenic rupture]. Ultraschall Med. 1991;12(2):91-4.
In a retrospective study, we analyzed the data of 232 patients with blunt abdominal trauma between January 1, 1984, and December 31, 1988. In emergency ultrasound, we detected 4 patients with a smooth disruption of the splenic outline combined with free peritoneal fluid around the spleen. Because of the blunt abdominal trauma, a rupture of the spleen had to be excluded. In two of these 4 cases, we decided for laparotomy. Intraoperatively, we found a splenic lobulation and no splenic injury in both cases. We conclude that an emergency sonographic examination of the spleen, it should be kept in mind that the anatomical variation of a splenic lobulation might mimic a rupture of the spleen.