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. 2018 Apr 4;4(1):E30–E34. doi: 10.1055/s-0043-125311

Table 2 Diagnosis, grading, and therapy of n=9 splenic ruptures with value of CEUS regarding therapy.

No. Clinical diagnosis B-mode US diagnosis Grade B-mode CEUS diagnosis Grade CEUS Therapy
1 SSR, acute pancreatitis Nonspecific findings, SH, FF 4 SH, PH, FF, active bleeding 4 Splenectomy
2 SSR, acute leukemia Nonspecific findings 2 NTISP within infarction 4 Interventional radiology
3 TSR, trauma Nonspecific findings 2 TISP 4 Splenectomy
4 SSR, acute leukemia Nonspecific findings 2 NTISP within infarction 4 urgent splenectomy
5 SSR, malignant lymphoma Nonspecific findings, FF 4 NTISP within infarction, FF, active bleeding 4 Urgent splenectomy
6 TSR, motor bike accident Nonspecific findings 2 TISP 4 Conservative treatment
7 SSR, angiosarcoma SH,FF 3 SH, FF, metastases active bleeding 4 Splenectomy
8 TSR, motor bike accident Nonspecific findings 3 TISP within infarction 4 Delayed splenectomy
9 SSR, endocarditis Infarction 2 NTISP within infarction 4 Interventional radiology

(SSR=spontaneous splenic rupture, TRS=traumatic splenic rupture, subcapsular hematoma (SH), parenchymal hematoma (PH), free abdominal fluid (FF), non-traumatic intrasplenic pseudoaneurysm (NTISP), traumatic intrasplenic pseudoaneurysm (TISP))