Scintigraphic evaluation of liver and spleen injury.

The liver and spleen may be damaged by blunt or penetrating trauma to the upper abdomen. Scintigraphic studies have proved quite useful in detecting the presence and delineating the extent of these injuries. In addition to the conventional anterior, lateral, and posterior views, special angulated and oblique views are sometimes needed. These studies provide the information that often is needed when surgical exploration is contemplated. Contrast angiography is used in equivocal situations. latrogenic changes caused by radiation or surgery of the liver may also be demonstrated and followed with scintigraphic studies. Examples of all these situations are included in this review.