Ultrasound Diagnosis and Minimally Invasive Treatment of Posttraumatic Hematomas of the Spleen

The work presents the analysis of ultrasound diagnostic of traumatic hematomas of the spleen in 12 patients after blunt abdominal trauma. Traumatic injuries of large (4 patients) and giant (5 patients) sizes prevailed. Only 3 patients had medium sized traumatic lesion. Ultrasound examination was per...

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Autores principales:	E. E. Tyuryumina, E. A. Chizhova
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	spleen hematoma injuries of the spleen ultrasonography minimally invasive treatment Science Q
Acceso en línea:	https://doaj.org/article/42af4b9dee4740418f846847cc6a8362
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spelling	oai:doaj.org-article:42af4b9dee4740418f846847cc6a83622021-11-23T06:14:41ZUltrasound Diagnosis and Minimally Invasive Treatment of Posttraumatic Hematomas of the Spleen2541-94202587-959610.29413/ABS.2018-3.6.19https://doaj.org/article/42af4b9dee4740418f846847cc6a83622019-01-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/1890https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The work presents the analysis of ultrasound diagnostic of traumatic hematomas of the spleen in 12 patients after blunt abdominal trauma. Traumatic injuries of large (4 patients) and giant (5 patients) sizes prevailed. Only 3 patients had medium sized traumatic lesion. Ultrasound examination was performed for all patients as a primary procedure and for dynamic observation. We tracked evolution of traumatic spleen injuries and identified four stages of pathological process in case of aseptic development: the stage of “fresh hemorrhage”, the stage of “formed clot”, the stage of “aseptic lysis of the clot”, the stage of “connective tissue organization”. We determined the evidence of pyogenesis of spleen hematomas, identified the stage “bacterial lysis of the clot” and stage of “forming capsules”. We determined the indications and contraindications for the minimally invasive treatment of spleen hematoma. Percutaneous evacuation of the spleen hematoma was performed in all patients. In four cases of minimally invasive treatment was puncture. In one patient the treatment was completed with a single puncture, in 3 patients – with a double one. Drainage of spleen hematomas was performed in 8 patients. We analyzed the results of minimally invasive treatment of traumatic injuries of the spleen under ultrasound control. Minimally invasive treatment was successful in 11 patients. Only 1 patient was operated for post-traumatic aneurysm of the splenic artery due to the continuing bleeding into hematoma.E. E. TyuryuminaE. A. ChizhovaScientific Сentre for Family Health and Human Reproduction Problemsarticlespleen hematomainjuries of the spleenultrasonographyminimally invasive treatmentScienceQRUActa Biomedica Scientifica, Vol 3, Iss 6, Pp 130-136 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	spleen hematoma injuries of the spleen ultrasonography minimally invasive treatment Science Q
spellingShingle	spleen hematoma injuries of the spleen ultrasonography minimally invasive treatment Science Q E. E. Tyuryumina E. A. Chizhova Ultrasound Diagnosis and Minimally Invasive Treatment of Posttraumatic Hematomas of the Spleen
description	The work presents the analysis of ultrasound diagnostic of traumatic hematomas of the spleen in 12 patients after blunt abdominal trauma. Traumatic injuries of large (4 patients) and giant (5 patients) sizes prevailed. Only 3 patients had medium sized traumatic lesion. Ultrasound examination was performed for all patients as a primary procedure and for dynamic observation. We tracked evolution of traumatic spleen injuries and identified four stages of pathological process in case of aseptic development: the stage of “fresh hemorrhage”, the stage of “formed clot”, the stage of “aseptic lysis of the clot”, the stage of “connective tissue organization”. We determined the evidence of pyogenesis of spleen hematomas, identified the stage “bacterial lysis of the clot” and stage of “forming capsules”. We determined the indications and contraindications for the minimally invasive treatment of spleen hematoma. Percutaneous evacuation of the spleen hematoma was performed in all patients. In four cases of minimally invasive treatment was puncture. In one patient the treatment was completed with a single puncture, in 3 patients – with a double one. Drainage of spleen hematomas was performed in 8 patients. We analyzed the results of minimally invasive treatment of traumatic injuries of the spleen under ultrasound control. Minimally invasive treatment was successful in 11 patients. Only 1 patient was operated for post-traumatic aneurysm of the splenic artery due to the continuing bleeding into hematoma.
format	article
author	E. E. Tyuryumina E. A. Chizhova
author_facet	E. E. Tyuryumina E. A. Chizhova
author_sort	E. E. Tyuryumina
title	Ultrasound Diagnosis and Minimally Invasive Treatment of Posttraumatic Hematomas of the Spleen
title_short	Ultrasound Diagnosis and Minimally Invasive Treatment of Posttraumatic Hematomas of the Spleen
title_full	Ultrasound Diagnosis and Minimally Invasive Treatment of Posttraumatic Hematomas of the Spleen
title_fullStr	Ultrasound Diagnosis and Minimally Invasive Treatment of Posttraumatic Hematomas of the Spleen
title_full_unstemmed	Ultrasound Diagnosis and Minimally Invasive Treatment of Posttraumatic Hematomas of the Spleen
title_sort	ultrasound diagnosis and minimally invasive treatment of posttraumatic hematomas of the spleen
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/42af4b9dee4740418f846847cc6a8362
work_keys_str_mv	AT eetyuryumina ultrasounddiagnosisandminimallyinvasivetreatmentofposttraumatichematomasofthespleen AT eachizhova ultrasounddiagnosisandminimallyinvasivetreatmentofposttraumatichematomasofthespleen
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Ultrasound Diagnosis and Minimally Invasive Treatment of Posttraumatic Hematomas of the Spleen

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