Partial splenectomy in blunt abdominal trauma

  • Clara Sampaio Centro Hospitalar Lisboa Central
  • João Aniceto Centro Hospitalar de Lisboa Central
  • Luis Moniz Centro Hospitalar de Lisboa Central
  • Francisco Oliveira Martins Centro Hospitalar de Lisboa Central

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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Author Biographies

Clara Sampaio, Centro Hospitalar Lisboa Central

Internato Complementar de Cirurgia Geral

Centro Hospitalar Lisboa Central

João Aniceto, Centro Hospitalar de Lisboa Central

Interno da Especialidade de Cirurgia Geral

Luis Moniz, Centro Hospitalar de Lisboa Central

Assistente Hospitalar Graduado de Cirurgia Geral

Serviço de Cirurgia Geral, Centro Hospitalar de Lisboa Central

Francisco Oliveira Martins, Centro Hospitalar de Lisboa Central

Assistente Graduado Sénior de Cirurgia Geral

Serviço de Cirurgia Geral, Centro Hospitalar de Lisboa Central

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.
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: 12 july 2024.
Section
Clinical Case