Template:Muscular hematoma - choice of modality
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, an arterial phase contrast CT 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. .
