A survey was made of the delay between admission and operation in 62 patients with traumatic rupture of the spleen over a three-year period at the Royal Adelaide Hospital. In 42% of these patients, the delay was more than 12 hours, and in 16% more than 48 hours. In seven of these patients the diagnosis was made by photoscanning after injection of technetium Tc 99m sulfur colloid. This is a valuable technique as a noninvasive method of early diagnosis of splenic rupture, especially in patients with multiple injuries.
Walsh JA, Ludbrook J, Ronai PM. PhotoscanningAn Aid to the Early Diagnosis of Rupture of the Spleen. Arch Surg. 1974;109(6):812-815. doi:10.1001/archsurg.1974.01360060078021