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Review
. 2017 Jun 9;2(1):e000075.
doi: 10.1136/tsaco-2017-000075. eCollection 2017.

An update on nonoperative management of the spleen in adults

Ben L Zarzaur  1 , Grace S Rozycki  1
Affiliations
Review

An update on nonoperative management of the spleen in adults

Ben L Zarzaur et al. Trauma Surg Acute Care Open. .

Abstract

Many patients with blunt splenic injury are considered for nonoperative management and, with proper selection, the success rate is high. This paper aims to provide an update on the treatments and dilemmas of nonoperative management of splenic injuries in adults and to offer suggestions that may improve both consensus and patient outcomes.

Keywords: Spleen injuries; angiography; salvage.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Pseudoaneurysm (arrow) noted on initial CT scan.
Figure 2
Figure 2
Selective angioembolization of bleeding splenic vessel (arrow).
Figure 3
Figure 3
Specimen shows embolized portion of spleen as dark area (arrow). Bleeding occurred from splenic hilum.
Figure 4
Figure 4
Transverse image of spleen with pseudoaneurysms in the upper pole. Contrast is poorly timed as neither the aorta nor pseudoaneurysm appear bright.
Figure 5
Figure 5
Repeat CT scan showing splenic hematoma and extraparenchymal pseudoaneurysm (arrow).
See this image and copyright information in PMC

References

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