{
    "abstract": "The spleen is the most commonly injured solid organ in blunt abdominal trauma, and splenic pseudoaneurysm rupture is associated with a high risk of mortality. Nonoperative management has become the standard treatment for hemodynamically stable patients with splenic injuries. On the other hand, delayed splenic pseudoaneurysms can develop in any patient, and at present, there are no known risk factors that may reliably predict their occurrence. Furthermore, there is a lack of consensus regarding the most appropriate strategies for monitoring and managing splenic injuries, especially lower-grade (I-III).\nTo determine the predictors of pseudo-aneurysm formation following splenic injury and develop follow-up strategies for early detection of pseudoaneurysms.\nWe retrospectively analyzed patients who visited the Level I Trauma Center between January 2013 and December 2022 and were diagnosed with spleen injuries after blunt abdominal trauma.\nUsing the American Association for the Surgery of Trauma spleen injury scale, the splenic injuries were categorized into the following order based on severity: Grade I (\nWe recommend regular follow-up computed tomography scans, including an arterial and portal venous phase, at least 1 week and 1 month after injury in any grade of blunt traumatic spleen injury for the timely detection of delayed pseudoaneurysms.",
    "authors": [
        {
            "affiliation": "Department of Surgery, Trauma Center, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu 41944, South Korea.",
            "firstname": "Sung Hoon",
            "initials": "SH",
            "lastname": "Cho"
        },
        {
            "affiliation": "Department of Surgery, Trauma Center, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu 41944, South Korea.",
            "firstname": "Gun Woo",
            "initials": "GW",
            "lastname": "Kim"
        },
        {
            "affiliation": "Department of Surgery, Trauma Center, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu 41944, South Korea.",
            "firstname": "Suyeong",
            "initials": "S",
            "lastname": "Hwang"
        },
        {
            "affiliation": "Department of Surgery, Trauma Center, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu 41944, South Korea. drlimkh@knu.ac.kr.",
            "firstname": "Kyoung Hoon",
            "initials": "KH",
            "lastname": "Lim"
        }
    ],
    "conclusions": "We recommend regular follow-up computed tomography scans, including an arterial and portal venous phase, at least 1 week and 1 month after injury in any grade of blunt traumatic spleen injury for the timely detection of delayed pseudoaneurysms.",
    "copyrights": "\u00a9The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.",
    "doi": "10.4240/wjgs.v16.i10.3163",
    "journal": "World journal of gastrointestinal surgery",
    "keywords": [
        "Angioembolization",
        "Blunt trauma",
        "Delayed pseudoaneurysm",
        "Nonoperative management",
        "Spleen injury"
    ],
    "methods": null,
    "publication_date": "2024-11-22",
    "pubmed_id": "39575270\n36224617\n18404079\n35454060\n33484276\n30462622\n28828034\n31236130\n7473932\n24089111\n34332465\n30197828\n32983447\n17293574\n23449955\n36515703\n16374270\n7897735\n20453766\n9637156\n17723884\n19741402",
    "results": "Using the American Association for the Surgery of Trauma spleen injury scale, the splenic injuries were categorized into the following order based on severity: Grade I (",
    "title": "Follow-up strategy for early detection of delayed pseudoaneurysms in patients with blunt traumatic spleen injury: A single-center retrospective study.",
    "xml": "<Element 'PubmedArticle' at 0x7885030ac360>"
}