Year: 2018 | Month: August | Volume: 8 | Issue: 8 | Pages: 335-339
Non-operative Management of Splenic Injury
Dr. B.Ananda Rama Rao1, Dr. P.Saikumar2, Dr. Krishna Kishore.G2
1Professor of Surgery, 2Resident of Surgery
SVS Medical College, Mahabubnagar, Telangana, India
Corresponding Author: Dr.B.Ananda Rama Rao
The most common cause of preventable death after abdominal trauma is missed splenic injury. Blunt injury to the spleen in adults treated by Non-operative Management (NOM) has become the gold standard of care in patients who are haemodynamically stable. The risk of post Splenectomy Infections (PSI) prompted the evolvement of preservation of the injured spleen. This modality of conservative treatment for injured spleen was started in paediatric patients. It is highly successful with overall failures rates ranging from 2% to 31% (average 10.8%) with majority of failures occurring in the first 24 hours. Splenic artery embolization is the Current method of NOM of splenic trauma. Here we discuss our experience in managing a female patient of 18years, who presented to the casualty with complaints of diffuse abdominal pain predominantly over left loin following a road traffic accident. Patient was diagnosed to have splenic laceration grade II& hematoma. Patient was managed conservatively by close monitoring and with periodic follow up.
Key words: Non-operative Management, Splenic injury