Acute epidural hematoma: an analysis of factors influencing the outcome of patients undergoing surgery in coma (original) (raw)

taken directly from CT scan to the operating room (30 patients). The remaining 25 had no splenic injury on CT scan, which was confirmed surgically. CT scan was correctly indicative of splenic injury in 28 of 30 operated cases and in 16 nonoperated cases. Overall acccuracy was 97%, specificity was 100%, and sensitivity was 93%. The authors conclude that CT is an accurate technique to determine the extent of splenic injury; CT classification has a high correlation with anatomic findings; and early operation with severe class II and all class III injuries may optimize splenic salvage, thus reducing late splenectomy and hospitalization.