Difference between revisions of "Template:Muscular hematoma - choice of modality"
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===Choice of modality=== | ===Choice of modality=== | ||
*'''[[Ultrasonography of muscular hematoma]]''' is generally the initial choice in younger patients to confirm a strongly suspected hematoma. | *'''[[Ultrasonography of muscular hematoma]]''' is generally the initial choice in younger patients to confirm a strongly suspected hematoma. | ||
| − | *'''[[CT of muscular hematoma]]''' is generally the initial choice in acute [[abdominal pain]]. For follow-up of a known muscular hematoma, it is sufficient to perform CT without [[Contrast CT|IV contrast]].<ref group=notes>A [[contrast CT]] can detect extravasation of contrast material, but this does not seem to be correlated to clinical severity, as evidenced from rectus sheath and iliopsoas hematomas. | + | *'''[[CT of muscular hematoma]]''' is generally the initial choice in acute [[abdominal pain]]. For follow-up of a known muscular hematoma, it is sufficient to perform CT without [[Contrast CT|IV contrast]].<ref group=notes>A [[contrast CT]] can detect extravasation of contrast material, but this does not seem to be correlated to clinical severity, as evidenced from rectus sheath and iliopsoas hematomas.<br>- {{cite journal|last1=Landecy|first1=Marie|last2=Paquette|first2=Brice|last3=Revel|first3=Lucie|last4=Behr|first4=Julien|last5=Badet|first5=Nicolas|last6=Delabrousse|first6=Eric|title=Does IV contrast extravasation on CT in anticoagulant-related rectus sheath and iliopsoas hematoma predict hematoma expansion and patient outcomes?|journal=Abdominal Radiology|volume=41|issue=11|year=2016|pages=2241–2247|issn=2366-004X|doi=10.1007/s00261-016-0818-4}}</ref> If detection of contrast extravasation or active bleeding is specifically requested, the arterial phase is preferred.<ref>{{cite journal|author=B. Lee DE, Ahn JY, Moon S|url=http://www.jksem.org/upload/pdf/jksem-28-4-391.pdf|year=2017|title=A Case of Rectus Sheath Hematoma with Spontaneous Inferior Epigastric Artery Injury Treated Successfully by Angio-embolization|journal=jksem|volume=28|issue=4}}</ref> |
*In suspected bone fracture, '''[[X-ray of fractures]]''' is generally the initial choice.<noinclude> | *In suspected bone fracture, '''[[X-ray of fractures]]''' is generally the initial choice.<noinclude> | ||
{{Bottom}} | {{Bottom}} | ||
</noinclude> | </noinclude> | ||
Revision as of 14:26, 14 March 2019
Choice of modality
- Ultrasonography of muscular hematoma is generally the initial choice in younger patients to confirm a strongly suspected hematoma.
- CT of muscular hematoma is generally the initial choice in acute abdominal pain. For follow-up of a known muscular hematoma, it is sufficient to perform CT without IV contrast.[notes 1] If detection of contrast extravasation or active bleeding is specifically requested, the arterial phase is preferred.[1]
- In suspected bone fracture, X-ray of fractures is generally the initial choice.
Notes
- ↑ A contrast CT can detect extravasation of contrast material, but this does not seem to be correlated to clinical severity, as evidenced from rectus sheath and iliopsoas hematomas.
- Landecy, Marie; Paquette, Brice; Revel, Lucie; Behr, Julien; Badet, Nicolas; Delabrousse, Eric (2016). "Does IV contrast extravasation on CT in anticoagulant-related rectus sheath and iliopsoas hematoma predict hematoma expansion and patient outcomes? ". Abdominal Radiology 41 (11): 2241–2247. doi:. ISSN 2366-004X.
References
- ↑ B. Lee DE, Ahn JY, Moon S (2017). "A Case of Rectus Sheath Hematoma with Spontaneous Inferior Epigastric Artery Injury Treated Successfully by Angio-embolization ". jksem 28 (4). Archived from the original. .
