Western Trauma Association
Management of Adult Blunt Splenic Trauma
Annotation
for Point E
Abdominal CT scanning is the gold standard diagnostic
test if NOM is to be pursued. Appropriate timing of IV
contrast is crucial to define the extent of splenic
injury and identify vascular blushes. Controversy exists
over the need for oral contrast to diagnose HVI and its
potential for causing severe aspiration pneumonitis.38