CURRENT APPROACHES AND NEW RESEARCH IN
MODERN SCIENCES
International scientific-online conference
16
COMPUTED TOMOGRAPHY FOR DIAGNOSING SPLENIC
DISORDERS
Valiyev Y.Y.
Khalilova M.A.
Islambekova M.A.
Tashkent Medical Academy (TMA)
https://doi.org/10.5281/zenodo.13853888
Objective
: To evaluate the capabilities and effectiveness of CT imaging in
the diagnosis of mechanical spleen injuries, as well as various non-traumatic
splenic masses.
Materials and Methods
: An analysis was conducted on the results of CT
scans from 62 patients with suspected traumatic and non-traumatic spleen
abnormalities between January 2022 and December 2024.
Results and Discussion
: The age of the patients ranged from 30 to 75
years, with the majority being male (65%). Diagnostic conclusions were
confirmed either intraoperatively or clinically (in cases of conservative
management). The incidence of identified pathological changes was distributed
as follows: ruptures of the spleen parenchyma and capsule, infarctions (30%),
subcapsular hematomas (14%), various cysts (9%), chronic and acute abscesses
(6%), metastatic lesions (5% of cases), and hemangiomas (3%). The sensitivity
and specificity of CT with intravenous bolus contrast in diagnosing spleen
injuries were 100%, with no false-negative or false-positive results. For non-
traumatic changes, the sensitivity and specificity of the method varied between
92% and 96%, depending on the type of pathology. Following CT, the diagnosis
was revised in 12% of patients, and treatment strategy was adjusted in 32% of
cases.
Conclusions
: The use of CT with intravenous bolus contrast in patients
with traumatic and non-traumatic splenic lesions allows for high-precision
determination of the nature of detected pathologies. It facilitates the selection of
an appropriate treatment strategy, helps avoid unnecessary splenectomies, and
accurately identifies the source of bleeding.
References:
1.
Mortele, K.J., and Ros, P.R. CT features of the spleen: a pictorial review.
European Radiology, 2001, 11(1), 80-88.
2.
Sheafor, D.H., Hertzberg, B.S. CT of splenic abnormalities: a comprehensive
review. Radiographics, 2003, 23(4), 1039-1055.
CURRENT APPROACHES AND NEW RESEARCH IN
MODERN SCIENCES
International scientific-online conference
17
3.
Federle, M.P., and Jeffrey, R.B. Imaging of splenic trauma: the role of
computed tomography. Radiology, 1992, 183(2), 297-305.
4.
Horton, K.M., and Fishman, E.K. Nontraumatic splenic emergencies: CT
findings. Radiographics, 2003, 23(4), 1023-1038.
5.
Kawashima, A., Fishman, E.K. CT of nonneoplastic diseases of the spleen.
Radiographics, 1998, 18(4), 1055-1073.
