Splenic Trauma: Should we treat Differently?

Sub-title
AuthorsP Andrejevic MD, AFRCSI
G Laferla PhD, FRCS
AbstractA 36 year old male was admitted to Accident and Emergency Department following a motor vehicle accident. Clinical`examination revealed a haemodynamically stable patient. Abdominal examination showed tenderness in right upper quadrant. Ultrasonography of the abdomen was normal. Haemoglobin on admission was 13 gm/dl. A repeated haemoglobin six hours later revealed a Hb of 10 gm/dl. Computerized tomography(CT) of the abdomen showed a ruptured spleen. As the patient was haemodynamically stable, it was decided to treat the patient in the HDU setting. His condition remained stable and he was fit to be discharged home on the fifth post-operative day.

Published in:
JournalMalta Medical Journal
Volume15 Issue 02
Pages39 - 41
Date01/11/2003
Link to journal

Key wordsmanagement, splenic rupture

Compiled by: Dr. I. Stabile    Dr. J. Pace