Hepatic and Splenic Blush on CT in Children following Blunt Abdominal Trauma: Is Intervention Necessary?.

Background: There are no widely accepted guidelines for management of pediatric patients who have evidence of solid organ contrast extravasation ("blush") on computer tomography (CT) scans following blunt abdominal trauma. We report our experience as a level 1 pediatric trauma center in managing cases with hepatic and splenic blush. Methods: All pediatric blunt abdominal trauma cases resulting in liver or splenic injury were queried from 2008-2014. Patients were excluded if a CT was unavailable in the medical record. The presence of contrast blush was based on final reports from attending pediatric radiologists. Correlations between incidence of contrast blush and major outcomes of interest were determined using chi square and Wilcoxon rank-sum tests for categorical and continuous variables, respectively, evaluating statistical significance at p

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