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. Photoscanning: An Aid to the Early Diagnosis of Rupture of the Spleen. Arch Surg. 1974;109(6):812–815. doi:10.1001/archsurg.1974.01360060078021
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