Ultrasonography of the healing process during a 3-month follow-up after a splenic injury

We present a 14-year-old boy with a grade III splenic injury due to a bicycle accident, who was treated conservatively. The boy’s medical history included splenomegaly due to thalassemia. The splenic lesion was initially investigated with computed tomography (CT) and then, was followed by ultrasonog...

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Main Authors: Vasileios Rafailidis, Dimitrios Apostolou, Christodoulos Kaitartzis, Dimitrios Rafailidis
Format: Article
Language:English
Published: Korean Society of Ultrasound in Medicine 2015-07-01
Series:Ultrasonography
Subjects:
Online Access:http://www.e-ultrasonography.org/upload/usg-14057.pdf
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author Vasileios Rafailidis
Dimitrios Apostolou
Christodoulos Kaitartzis
Dimitrios Rafailidis
author_facet Vasileios Rafailidis
Dimitrios Apostolou
Christodoulos Kaitartzis
Dimitrios Rafailidis
author_sort Vasileios Rafailidis
collection DOAJ
description We present a 14-year-old boy with a grade III splenic injury due to a bicycle accident, who was treated conservatively. The boy’s medical history included splenomegaly due to thalassemia. The splenic lesion was initially investigated with computed tomography (CT) and then, was followed by ultrasonography for 3 months. CT revealed a large intraparenchymal hematoma which appeared hyperechoic on ultrasonography. During follow-up, the hematoma developed a more complex echogenicity and became gradually hypoechoic. The hematoma increased in size during the first week but then, started decreasing until it eventually resolved completely. The patient had an uneventful full recovery. In this report, we discuss the ultrasonographic changes of the hematoma throughout the healing process.
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spelling doaj.art-1d39ef7b98b2417b95b06b1656b148b92022-12-22T03:32:23ZengKorean Society of Ultrasound in MedicineUltrasonography2288-59192288-59432015-07-0134322623010.14366/usg.1405770Ultrasonography of the healing process during a 3-month follow-up after a splenic injuryVasileios Rafailidis0Dimitrios Apostolou1Christodoulos Kaitartzis2Dimitrios Rafailidis3 Postgraduate Programme in Medical Research Methodology, Aristotle University of Thessaloniki, Thessaloniki, Greece Department of Radiology, G. Gennimatas Hospital, Thessaloniki, Greece Department of Radiology, G. Gennimatas Hospital, Thessaloniki, Greece Department of Radiology, G. Gennimatas Hospital, Thessaloniki, GreeceWe present a 14-year-old boy with a grade III splenic injury due to a bicycle accident, who was treated conservatively. The boy’s medical history included splenomegaly due to thalassemia. The splenic lesion was initially investigated with computed tomography (CT) and then, was followed by ultrasonography for 3 months. CT revealed a large intraparenchymal hematoma which appeared hyperechoic on ultrasonography. During follow-up, the hematoma developed a more complex echogenicity and became gradually hypoechoic. The hematoma increased in size during the first week but then, started decreasing until it eventually resolved completely. The patient had an uneventful full recovery. In this report, we discuss the ultrasonographic changes of the hematoma throughout the healing process.http://www.e-ultrasonography.org/upload/usg-14057.pdfSpleenHematomaUltrasonography
spellingShingle Vasileios Rafailidis
Dimitrios Apostolou
Christodoulos Kaitartzis
Dimitrios Rafailidis
Ultrasonography of the healing process during a 3-month follow-up after a splenic injury
Ultrasonography
Spleen
Hematoma
Ultrasonography
title Ultrasonography of the healing process during a 3-month follow-up after a splenic injury
title_full Ultrasonography of the healing process during a 3-month follow-up after a splenic injury
title_fullStr Ultrasonography of the healing process during a 3-month follow-up after a splenic injury
title_full_unstemmed Ultrasonography of the healing process during a 3-month follow-up after a splenic injury
title_short Ultrasonography of the healing process during a 3-month follow-up after a splenic injury
title_sort ultrasonography of the healing process during a 3 month follow up after a splenic injury
topic Spleen
Hematoma
Ultrasonography
url http://www.e-ultrasonography.org/upload/usg-14057.pdf
work_keys_str_mv AT vasileiosrafailidis ultrasonographyofthehealingprocessduringa3monthfollowupafterasplenicinjury
AT dimitriosapostolou ultrasonographyofthehealingprocessduringa3monthfollowupafterasplenicinjury
AT christodouloskaitartzis ultrasonographyofthehealingprocessduringa3monthfollowupafterasplenicinjury
AT dimitriosrafailidis ultrasonographyofthehealingprocessduringa3monthfollowupafterasplenicinjury