Conclusions With increases in technology and high resolution CT imaging, it is likely that more contrast blushes will be detected. Assuming that a hemodynamically stable patient requires angiography for investigation of a contrast blush is not based on scientific evidence. Based Selonsertib upon
our experience, albeit limited in numbers and retrospective in nature, we do not feel evidence of contrast extravasation on initial CT imaging alone is a definitive indication for intervention. A period of close observation, serial examination, repeat laboratory evaluation, repeat FAST for those with an initial negative FAST, and selective repeat CT imaging, click here should be considered. A clinically based approach, similar to that used in all patients to determine operative versus NOM of blunt splenic injuries, rather than immediate angiography could avoid costly, invasive interventions and their associated sequelae. Future prospective trials would help delineate patients with splenic blushes who can
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