Partial splenectomy in blunt abdominal trauma
Abstract
The spleen is the most commonly injured intra-abdominal organ in blunt trauma1. The diagnosis of splenic trauma can be delayed because 40% of patients can be asymptomatic in the initial evaluation. We present two cases of a 32 and 39-year-old women with a Grade IV splenic lesion for a blunt abdominal trauma. A partial splenectomy was performed in both cases.
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References
1. Olthof DC, van der Vlies CH, Joosse P, et al. PYTHIA Collaboration Group: Consensus strategies for the nonoperative management of patients with blunt splenic injury: A Delphi study. J Trauma Acute Care Surg 2013, 74:1567–1574.
2. Rosati C, Ata A, Siskin G, Megna D, Bonville D, Stain S. Management of splenic trauma: a single institution´s 8-year experience. The American Journal of Surgery 2015, 209: 308-314.
3. Demetriades D, Scalea TM, Degiannis E, et al: Blunt splenic trauma: Splenectomy increases early infectious complications: A prospective multicenter study. J Trauma Acute Care Surg 2012, 72:229–234.
4. Moore FA, Davis JW, Moore EE, Jr, et al: Western Trauma Association (WTA) critical decisions in trauma: Management of adult blunt splenic trauma. J Trauma 2008, 65:1007–1011.
5. Esperança Pina SA, Territórios arteriais esplénicos. Universidade Nova de Lisboa 1979.
2. Rosati C, Ata A, Siskin G, Megna D, Bonville D, Stain S. Management of splenic trauma: a single institution´s 8-year experience. The American Journal of Surgery 2015, 209: 308-314.
3. Demetriades D, Scalea TM, Degiannis E, et al: Blunt splenic trauma: Splenectomy increases early infectious complications: A prospective multicenter study. J Trauma Acute Care Surg 2012, 72:229–234.
4. Moore FA, Davis JW, Moore EE, Jr, et al: Western Trauma Association (WTA) critical decisions in trauma: Management of adult blunt splenic trauma. J Trauma 2008, 65:1007–1011.
5. Esperança Pina SA, Territórios arteriais esplénicos. Universidade Nova de Lisboa 1979.
Published
2017-12-31
How to Cite
SAMPAIO, Clara et al.
Partial splenectomy in blunt abdominal trauma.
Revista Portuguesa de Cirurgia, [S.l.], n. 43, p. 33 - 37, dec. 2017.
ISSN 2183-1165.
Available at: <https://revista.spcir.com/index.php/spcir/article/view/608>. Date accessed: 26 apr. 2024.
Section
Clinical Case
