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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1989-10-12
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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.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0361-803X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
153
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
747-9
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pubmed:dateRevised |
2008-2-15
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pubmed:meshHeading |
pubmed-meshheading:2773729-Abdominal Injuries,
pubmed-meshheading:2773729-Hematoma,
pubmed-meshheading:2773729-Hemoperitoneum,
pubmed-meshheading:2773729-Humans,
pubmed-meshheading:2773729-Retrospective Studies,
pubmed-meshheading:2773729-Tomography, X-Ray Computed,
pubmed-meshheading:2773729-Viscera,
pubmed-meshheading:2773729-Wounds, Nonpenetrating
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pubmed:year |
1989
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pubmed:articleTitle |
Localized clotted blood as evidence of visceral trauma on CT: the sentinel clot sign.
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pubmed:affiliation |
Department of Radiology, University of California, San Francisco General Hospital 94110.
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pubmed:publicationType |
Journal Article
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