Non operative management of a patient with splenic trauma with angioembolisation after delayed presentation
Keywords:Splenic injury, Non-operative management of splenic injury, Angioembolization of splenic artery
Road traffic accidents are one of the most common causes of death in India. Those involved in RTA’s frequently suffer from solid organ injury, spleen being the second most common organ involved. Splenic injuries are associated with great deal of mortality and morbidity. Splenic injuries were classically treated with splenectomy but there has been a paradigm shift to non-operative management in recent times leading to splenic salvage and preservation of function of the spleen. This report is about a lady who was managed successfully with angioembolization in spite of the fact that the patient presented late after RTA.
Sakran JV, Greer SE, Werlin E, McCunn M. Care of the injured worldwide: trauma still the neglected disease of modern society. Scand J Trauma Resusc Emerg Med. 2012;20(1):64.
Pal R, Ghosh A, Kumar R, Galwankar S, Paul S, Pal S, et al. Public health crisis of road traffic accidents in India: Risk factor assessment and recommendations on prevention on the behalf of the Academy of Family Physicians of India YR- 2019/3/1. J Fam Med Prim Care. 2019;8(3):775-83.
Di Saverio S, Moore EE, Tugnoli G, Naidoo N, Ansaloni L, Bonilauri S, et al. Non operative management of liver and spleen traumatic injuries: a giant with clay feet. World J Emerg Surg. 2012;7(1):3.
Raza M, Abbas Y, Devi V, Prasad KVS, Rizk KN, Nair PP. Non operative management of abdominal trauma -- a 10 years review. World J Emerg Surg. 2013;8(1):14.
Søreide K. Epidemiology of major trauma. Br J Surg. 2009;96 (7):697-8.
Zarzaur BL, Croce MA, Fabian TC. Variation in the use of urgent splenectomy after blunt splenic injury in adults. J Trauma. 2011;71(5):1333-9.
van der Vlies CH, Olthof DC, Gaakeer M, Ponsen KJ, van Delden OM, Goslings JC. Changing patterns in diagnostic strategies and the treatment of blunt injury to solid abdominal organs. Int J Emerg Med. 2011;4:47.
Lucas CE. Splenic trauma. Choice of management. Ann Surg. 1991;213(2):98–112.
Beuran M, Gheju I, Venter M. Non-operative management of splenic trauma. J Med Life. 2012;5(1):47–58.