What is the significance of contrast “blush” in pediatric blunt splenic trauma?

PURPOSE: Contrast extravasation (CE) associated with blunt splenic injuries (BSIs) in adults is commonly treated with embolization or splenectomy. Whether this is necessary in children is unclear. We sought to determine if CE on initial computed tomography (CT) is associated with negative outcomes in children with BSI. METHODS: Blunt splenic injuries presented to our pediatric trauma center between January 21, 1999, and December 31, 2006, were …