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Thu Jun 7 05:57:33 BST 2007

Caesar

Two questions:
1) Does he want the season off?
2) When is his next practise supposed to be?

The middle cut shows a possible contrast blush, but it may just be a patent vessel. If he is serious about his sport - he will want the spleen out - back in action in 3 weeks! If he is willing to avoid contact sport for 6 months (the recommendation as far as I'm aware), you can offer non-operative management.

My 2c
Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
M.Med (Emergency Medicine) Executive Committee member
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Division of Surgery (General) Room 4064
Department of Surgical Sciences
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
CT scan of abdomen:  selected cuts
here<http://trauma.homestead.com/spleen_ct.html>(
http://trauma.homestead.com/spleen_ct.html). Remainder of abdominal CT shows
NO pneumoperitoneum, NO liver/kidney/pancreatic injury, NO oral contrast
extravasation, NO periduodenal fluid or thickened loops of intestine.  there
is some fluid in the pelvis and around the lower liver.

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