Implications of the ???Contrast Blush??? Finding on Computed Tomographic Scan of the Spleen in Trauma

Abstract

CB is not an absolute indication for an operative or angiographic intervention. Factors such as patient age, grade of injury, and presence of hypotension need to be considered in the clinical management of these patients.

Blunt Splenic Injuries in the Adolescent Trauma Population: The Role of Angiography and Embolization

“…The presence of either a contrast blush-indicative of active bleeding within the spleen-or of a pseudoaneurysm demonstrating splenic vascular injury, predicts the failure of non-operative management in adults (10,11). For this reason, patients who had either of these findings in our study went on to receive angiography.…”

The significance of contrast blush on computed tomography in children with splenic injuries

“…[3][4][5][6] Adult experience has suggested that a "blush sign" could predict the failure of nonoperative management and warrant early embolization or surgery. [7][8][9][10][11][12] In children, management decisions are based on the physiologic response to the injury rather than the radiologic features of the injury, 2,13 calling to question the significance of a blush sign in this population. Prior studies have addressed the significance of the blush sign in pediatric abdominal trauma.…”

The role of arterial embolization in blunt splenic injury

“…In particolare, la TC fornisce una detection rapida e affi dabile delle lesioni della milza e la valutazione in tempo reale del grado delle lesioni, fornendo al paziente una scelta terapeutica adeguata, vale a dire il NOM o SAE o la chirurgia. Inoltre, la TC è utile per evidenziare possibili lesioni associate [25,26].…”

“…In particular, CT provides rapid and reliable detection of splenic injury and real-time evaluation of its degree, directing the patient to a suitable therapeutic option, namely, nonoperative treatment or percutaneous embolization or surgery. In addition, CT is useful for identifying possible associated lesions [25,26].…”