scholarly journals Conservative Management of Combined Pleural and Splenic Injury During Percutaneous Nephrostolithotomy

2016 ◽  
Vol 2 (1) ◽  
pp. 176-179 ◽  
Author(s):  
Geoffrey S. Gaunay ◽  
Haris Ahmed ◽  
Arthur Smith ◽  
Zeph Okeke
1989 ◽  
Vol 24 (5) ◽  
pp. 428-431 ◽  
Author(s):  
Richard H. Pearl ◽  
David E. Wesson ◽  
Laura J. Spence ◽  
Robert M. Filler ◽  
Sigmund H. Ein ◽  
...  

2021 ◽  
Vol 8 (11) ◽  
pp. 3407
Author(s):  
Marta A. Silva ◽  
Nídia Moreira ◽  
José Baião ◽  
Carlos E. Costa Almeida

Splenic injury is frequent in patients with abdominal trauma and delayed splenic rupture yields a poorer prognosis. Patients with hemodynamic stability, despite the grade of splenic anatomical injury, can be safely treated by conservative management (observation or angiography/angioembolization), if no other intra-abdominal injuries are found and a multidisciplinary team (surgeons, interventional radiologists) is available. The conservative approach is an alternative to surgery and its possible complications. In this case series, the authors present three trauma cases very commonly seen in emergency rooms, in whom delayed splenic rupture was diagnosed. All three patients were submitted to conservative management, with no need for surgery or complications.  This case series presents some common clinical signs and diagnostic steps, also showing the safety and efficacy of clinical observation in this setting.


1980 ◽  
Vol 1 (7) ◽  
pp. 203-206
Author(s):  
Sara H. Sinal

Modern technology, specifically the splenic scan, aids in a quick and accurate diagnosis of splenic injury. Because children rarely exsanguinate from trauma to the spleen, splenectomy has been replaced by more conservative management as the treatment of choice in splenic trauma. Both nonoperative management and surgical repair of the spleen are alternatives. If splenectomy is necessary, the child is at greatly increased life time risk for an episode of overwhelming sepsis. Pneumococcal vaccine is indicated in children who must undergo splenectomy.


2019 ◽  
Vol 13 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Idrees Suliman ◽  
John Guirguis ◽  
Iryna Chyshkevych ◽  
Nemer F. Dabage

Colorectal cancer is a leading cause of morbidity and mortality worldwide. As such, there are recognized guidelines in the screening of this preventable cancer. There are differences in opinion regarding screening recommendations between the European and United States Cancer Prevention Societies. Screening colonoscopy is an option for routine screening for colorectal cancer in asymptomatic adults. It is a day procedure that is conducted both in hospital and specialized outpatient endoscopy suites. Serious harm is in the region of 3 per 1,000 examinations [Am J Gastroenterol. 2016 Aug; 111(8): 1092–101]. Splenic injury is a rare complication of colonoscopy whose frequency is unclear. Conservative management of splenic injury is desirable in order to preserve immunocompetence. We present a case in which a previously healthy 59-year-old female developed a splenic injury and later pleural effusion after screening colonoscopy.


2010 ◽  
Vol 52 (5) ◽  
pp. 442-449
Author(s):  
A. Hilario Barrio ◽  
S. Borruel Nacenta ◽  
A. Plá Romero ◽  
A. Sánchez Guerrero ◽  
C. García Fuentes ◽  
...  

1989 ◽  
Vol 24 (1) ◽  
pp. 121-125 ◽  
Author(s):  
Richard H. Pearl ◽  
David E. Wesson ◽  
Laura J. Spence ◽  
Robert M. Filler ◽  
Sigmund H. Ein ◽  
...  

2020 ◽  
Vol 34 (8) ◽  
pp. 811-815
Author(s):  
Vivian Paredes-Bhushan ◽  
Eric P. Raffin ◽  
John D. Denstedt ◽  
Ben H. Chew ◽  
Bodo E. Knudsen ◽  
...  

2005 ◽  
Vol 185 (3) ◽  
pp. 708-710 ◽  
Author(s):  
Joan C. Prowda ◽  
Susan Garrett Trevisan ◽  
Anna S. Lev-Toaff

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