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American Journal of Roentgenology, Vol 172, 1015-1017, Copyright © 1999 by American Roentgen Ray Society

ARTICLES

Prevalence and distribution of extraperitoneal hemorrhage associated with splenic injury in infants and children

CJ Sivit, AA Frazier and MR Eichelberger
Department of Diagnostic Imaging and Radiology, Children's National Medical Center, Washington, DC 20010, USA.

OBJECTIVE: The purpose of this study was to evaluate the prevalence and distribution of associated extraperitoneal hemorrhage in infants and children with splenic injury. CONCLUSION: Splenic injury occasionally resulted in extraperitoneal hemorrhage that tracked into the anterior pararenal space. Extraperitoneal hemorrhage always occurred in association with intraperitoneal hemorrhage. In addition, blood tracking into the anterior pararenal space after splenic injury dissected the splenic vein and pancreas in two (25%) of eight patients.
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