BACKGROUND: The exact value of follow-up ultrasonography and computed tomography in the non-operative management of blunt @entity130 is not yet defined. Although follow-up studies have been recommended to detect possible complications of the @entity130 , evidence shows that routine follow-up CT scans usually do not affect management of these @entity1 . OBJECTIVE: To determine whether follow-up imaging influences the management of @entity1 with blunt @entity130 . METHODS: Between 1995 and 1999, 155 @entity130 @entity1 were admitted with @entity130 to a major @entity130 center. Excluded from the study were @entity130 @entity1 with penetrating injuries, @entity1 , and those who underwent immediate laparotomy due to hemodynamic instability or associated injuries. The remaining @entity130 @entity1 were managed conservatively. @entity130 was suspected by focused abdominal sonography for @entity130 , upon admission, and confirmed by CT scan. The severity of @entity130 was graded from I to V. The clinical outcome was obtained from medical records. RESULTS: We identified 32 adult @entity1 (27 males and 5 females) with blunt @entity130 who were managed non-operatively. In two @entity1 it was not successful, and splenectomy was performed because of @entity5122 . The remaining 30 stable @entity1 were divided into two groups: those who had only the initial ultrasound and CT scan with no follow-up studies (n = 8), and those who underwent repeat follow-up ultrasound or CT scan studies (n = 22). The severity of injury was similar in both groups in the second group follow-up studies showed normal spleens in 2 @entity1 , improvement in 11, no change in 8, and deterioration in one. All @entity1 in both groups were managed successfully with good clinical outcome. CONCLUSION: In the present series the follow-up radiological studies did not affect @entity1 management. Follow-up imaging can be omitted in clinically stable @entity1 with blunt @entity130 grade I-III.

Follow-up imaging studies of blunt XXXX : do they influence management?

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient'] @entity5122 :: ('MESH:C565430', 'Disease') :: ['hemodynamic deterioration'] @entity130 :: ('MESH:D014947', 'Disease') :: ['splenic injury', 'splenic trauma', 'initial injury', 'Splenic injury', 'splenic injuries', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['splenic injury']
