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.<sup>A</sup><br>If detection of contrast extravasation or active bleeding is specifically requested, the arterial phase is preferred.<sup>B</sup><br>A. {{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}}<br>{{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> | ||
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</noinclude> | </noinclude> | ||
Revision as of 14:23, 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]
- 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.A
If detection of contrast extravasation or active bleeding is specifically requested, the arterial phase is preferred.B
A. 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.
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. .
