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Congress: ECR25
Poster Number: C-15687
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-15687
Authorblock: M. E. Oguzturk, I. B. Akin, C. Altay, N. D. Mentes, B. Kandemir, B. N. Yildirim; Izmir/TR
Disclosures:
Muhammed Enes Oguzturk: Nothing to disclose
Isil Başara Akin: Nothing to disclose
Canan Altay: Nothing to disclose
Nihal Deniz Mentes: Nothing to disclose
Bengisu Kandemir: Nothing to disclose
Bilge Nur Yildirim: Nothing to disclose
Keywords: Abdomen, Spleen, Trauma, CT, Staging, Trauma
Learning objectives The spleen is one of the most injured organs in organ injuries due to blunt abdominal trauma. Since the spleen is an organ that is highly prone to bleeding, it is critical for radiologists to determine the degree of injury and to start the treatment process rapidly  (1).  Our aim is to review the grading system in splenic injuries and to facilitate radiologists to recognize the lesions that can occur in the spleen after trauma.
Read more Background In 2018, the American Association for the Surgery of Trauma (AAST) Patient Assessment Committee (PAC) introduced an updated AAST splenic organ injury scale (OIS) for treatment decision making based on a two-stage abdominopelvic CT examination at presentation. While the AAST grading has existed as a research tool for decades, the latest update reflects an attempt to operationalize this grading system for point-of-care use and standardize management practices(7). [fig 1]
Read more Findings and procedure details Splenic injury due to trauma can occur due to blunt, penetrating or iatrogenic causes. The spleen is the most injured organ in blunt abdominal trauma and accounts for a significant proportion of visceral organ injuries (2). Focused Assessment Sonography for Trauma (FAST) should be the imaging modality of first choice in hemodynamically unstable patients. On the other hand, in hemodynamically stable patients, dual-phase contrast-enhanced tomography should be the first choice (3). Several CT-based grading systems for the assessment of splenic...
Read more Conclusion Over the last few decades, there has been a considerable shift toward a more conservative approach in the management of splenic trauma, with an emphasis on the preservation of splenic function and, currently, Nonoperative Management (NOM) has become the standard management technique in hemodynamically stable patients with spleen injuries. In western countries, 90–85% of traumatic splenic injury patients receive NOM, while the remainder has an immediate splenectomy for hemorrhagic shock or hemodynamic instability. Current data suggest NOM has a success...
Read more References 1-Splenic injury from blunt trauma Johannes Wiik Larsen, Kenneth Thorsen, and Kjetil Søreide doi: 10.1093/bjs/znad0602- Computed Tomography of Blunt Spleen Injury: A Pictorial Review Radhiana Hassan, Azian Abd Aziz, Ahmad Razali Md Ralib, and Azlin Saat3- Splenic trauma: WSES classification and guidelines for adult and pediatric patients doi: 10.1186/s13017-017-0151-44- Early post-traumatic splenic arteriovenous fistula in the pancreatic arcade: Diagnosis by volume-rendered 3D reconstruction images Junya Tsurukiri, M.D., Hidefumi Sano, M.D., Hoshiai Akira, M.D., Naoyuki Kaneko, M.D.5- Interventional Radiology in Splenic...
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