Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1989-10-12
pubmed:abstractText
We retrospectively reviewed the CT scans of 116 patients with abdominal trauma who had visceral injuries to determine if identification on CT of focal high-density clotted blood (a "sentinel clot") was an accurate sign of injury to an adjacent organ. The sentinel clot sign was sensitive, present in 101 (84%) of 120 visceral injuries with only three false-positive cases. Whereas CT visualized the visceral injury itself in 86% of cases, the sentinel clot was the only clue as to the source of hemorrhage in 14% of the cases. Splenic and bowel/mesenteric injuries were frequently subtle, and the focal clot helped to focus attention on the traumatic lesion. In 9% of splenic trauma cases and 32% of bowel/mesenteric injuries, the sentinel clot was the only positive finding. Localized clot is a frequent and accurate sign of injury to an adjacent organ. By facilitating diagnosis of trauma to a specific organ, it may influence the management decision of surgical vs conservative therapy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0361-803X
pubmed:author
pubmed:issnType
Print
pubmed:volume
153
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
747-9
pubmed:dateRevised
2008-2-15
pubmed:meshHeading
pubmed:year
1989
pubmed:articleTitle
Localized clotted blood as evidence of visceral trauma on CT: the sentinel clot sign.
pubmed:affiliation
Department of Radiology, University of California, San Francisco General Hospital 94110.
pubmed:publicationType
Journal Article