CT confirmation of healing spleen

[Ronald Gross]

Hey Sal, are you out there?  Have you seen this kind of defect on a healed spleen?

>>> "Ronald Simon" <Traumamd at nyc.rr.com> 2/12/2008 12:31 PM >>>
Yea, i know....... BUT, as you said, that was quite the crack to begin with.
Personally, i have never seen such a large remaining defect. That said, i
learn and see new stuff everyday.
ron s 

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] 
On Behalf Of Ronald Gross
Sent: Tuesday, February 12, 2008 12:21 PM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: CT confirmation of healing spleen

Ron,
Resolving hematoma after six MONTHS???
Ron

>>> "Ronald Simon" <Traumamd at nyc.rr.com> 2/12/2008 12:03 PM >>>
Interesting. What makes you think this is a fibrous band? Why not resolving
hematoma? I would hesitate to allow contact sports to resume otherwise i
would allow him to do as he pleases.
ron simon
Bellevue Hospital Center
NY 

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] 
On Behalf Of gsuywy at pacific.net.sg 
Sent: Tuesday, February 12, 2008 11:31 AM
To: Trauma &amp; Critical Care mailing list
Subject: CT confirmation of healing spleen

Dear all
I would appreciate the opinion of the members on the CT confirmation of a
healed ruptured spleen. The CT scan is of a 20 year old male injured in a
MVC - initial CT showing a splenic injury managed conservatively and another
6 months later showing a ? fibrous band joining the 2 fragments.

Is this sufficient evidence to allow him to go back to contact sports?  
Or is the band expected to narrow even further in the future?

Thanks very much

Allen


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