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Tue Feb 12 19:15:16 GMT 2008

Holy Moly.  I guarantee that this guy would have bled if I watched him.
Would have suggested removal.  

Now that he has done this well, I would let him go back to sports.  Warnings
need to be given that he is at increased risk of bleeding and splenic
injury.  No data that I know of to keep him out of sports.  

Good luck. 

Errington C. Thompson, MD, FACS, FCCM
Trauma/Surgical Critical Care
Author - Letter to America
Asheville, NC

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of gsuywy at pacific.net.sg
Sent: Tuesday, February 12, 2008 11:31 AM
To: Trauma &amp; Critical Care mailing list
Subject: CT confirmation of healing spleen

Dear all
I would appreciate the opinion of the members on the CT confirmation  
of a healed ruptured spleen. The CT scan is of a 20 year old male  
injured in a MVC - initial CT showing a splenic injury managed  
conservatively and another 6 months later showing a ? fibrous band  
joining the 2 fragments.

Is this sufficient evidence to allow him to go back to contact sports?  
Or is the band expected to narrow even further in the future?

Thanks very much

Allen

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CT confirmation of healing spleen