PURPOSE: To evaluate and determine the relevance of clinical and computed tomographic (CT) criteria, particularly extravasation, for prediction of clinical outcome in adults with @entity130 . MATERIALS AND METHODS: Retrospective blinded review was performed of the records of 270 @entity1 with @entity130 during a 5-year period. Of these, 120 died or underwent surgery without CT and 150 underwent dynamic bolus-enhanced CT. Fifty of the latter underwent immediate surgery and 100 initially were treated without surgery, according to CT and clinical criteria: morphologic grade of @entity130 , active extravasation, and injury severity score (a clinical measure of multiorgan @entity130 ). RESULTS: Of the clinical criteria, injury severity score had the best correlation with outcome. Of the CT criteria, active extravasation correlated best with the need for splenic surgery. Of 96 @entity1 selected for nonsurgical treatment and who did not have active extravasation, 83 recovered without surgery or other intervention. Nonsurgical therapy failed in 15 of the 100 @entity1 . The splenic salvage rate was 59.3% overall and was 92% among the 100 @entity1 with initial nonsurgical management. CONCLUSION: Standard clinical criteria allow triage of @entity1 into immediate surgery or initial nonsurgical groups. CT criteria, especially absence of active extravasation, can help predict successful nonsurgical management of @entity130 .

Blunt XXXX in adults: clinical and CT criteria for management, with emphasis on active extravasation.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity130 :: ('MESH:D014947', 'Disease') :: ['splenic injury', 'injury, amount of hemoperitoneum', 'splenic injuries', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['splenic injury']
