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September 1982

Radioisotope Spleen Scan in Patients With Splenic Injury

Author Affiliations

From the Divisions of Pediatric Surgery (Drs Mishalany and Woolley) and Nuclear Radiology (Dr Miller), Department of Surgery, Childrens Hospital of Los Angeles and the University of Southern California School of Medicine, Los Angeles.

Arch Surg. 1982;117(9):1147-1150. doi:10.1001/archsurg.1982.01380330015005

• The technetium Tc 99m sulfur colloid liver-spleen scan is a valuable aid in diagnosis and treatment of patients with splenic injury. After reviewing the charts of 47 patients who were ill as a result of splenic trauma, we came to the following conclusions: (1) the scan identified the injury, accurately mapped its extent, and indicated the presence or absence of associated liver injuries; (2) the scans were useful in following the extent and rate of healing of the splenic injury; (3) the scan is an indirect measurement of return of splenic function; (4) the procedure can be performed in a reasonable time frame with no serious morbidity; and (5) the indications, contraindications, and timing of scans are now reasonably well established.

(Arch Surg 1982;117:1147-1150)