scholarly journals Laparoscopic Splenectomy for a Blunt Trauma Splenic Injury in a Stable Patient

2015 ◽  
Vol 5 (1) ◽  
pp. 187-191
Author(s):  
Amit Kaul ◽  
2004 ◽  
Vol 57 (4) ◽  
pp. 887-889 ◽  
Author(s):  
Wael I. Nasr ◽  
Cynthia L. Collins ◽  
John J. Kelly

1994 ◽  
Vol 36 (3) ◽  
pp. 385-389 ◽  
Author(s):  
James S. Kohn ◽  
David E. Clark ◽  
Robert J. Isler ◽  
Christopher F. Pope

2019 ◽  
Vol 12 (8) ◽  
pp. e229405 ◽  
Author(s):  
Bobby Vincent Li ◽  
Ramesh Damodaran Prabha ◽  
Maruthi Narra ◽  
Hung Nguyen

An 18-year-old male patient presented to our regional referral hospital postcollapse at home. This was about 48 hours following a 2 m fall from a mountain bike. CT scan at presentation showed a grade 3/4 laceration at the splenic lower pole with some haemoperitoneum. He was managed conservatively. However, on day 4 he developed increasing abdominal pain which prompted repeat CT abdominal angiography. This scan did not show any further active bleeding from the spleen, however, a coeliac artery dissection was discovered, which was not evident on the first scan. After liaison with the vascular surgery team at a tertiary hospital, this was treated conservatively. Coeliac artery dissection following blunt trauma is an extremely rare occurrence, with fewer than 10 cases described in the literature. To our knowledge, this is the first case of concurrent splenic injury and coeliac artery dissection following blunt trauma to be reported.


2007 ◽  
Vol 73 (5) ◽  
pp. 465-467
Author(s):  
William R. Wrightson ◽  
C. Adam Conn ◽  
Glen A. Franklin

Blunt chest trauma produces a variety of injuries. We present a case report of a hemodynamically stable patient after blunt chest trauma with radiographic images suggestive of the left fifth rib penetration to the heart. The diagnosis, surgical approach, and course of the patient are discussed.


2016 ◽  
Vol 20 (1) ◽  
Author(s):  
Richard J. Cormack ◽  
Mollie C.M. Ferris ◽  
Jason K. Wong ◽  
Stefan Przybojewski

Background: The purpose of this study was to evaluate the splenic salvage rate with angioembolisation in the non-operative management (NOM) of blunt splenic injury.Methods: We conducted a retrospective analysis of patients presenting to our Level I trauma centre with computed tomography (CT)-confirmed splenic injury following blunt trauma and in whom angioembolisation was utilised in the algorithm of NOM. Data review included CT and angiography findings, embolisation technique and patient outcomes.Results: Between January 2005 and April 2010, 60 patients with splenic injury following blunt trauma underwent NOM, which included splenic artery embolisation (SAE). All patients included in the study required a preadmission. CT scan was used to document the American Association for the Surgery of Trauma (AAST) grade of splenic injury. The average injury grade was 3.0. The non-operative splenic salvage rate following SAE was 96.7% with statistically similar salvage rates achieved for grades II to IV injuries. The quantity of haemoperitoneum and the presence of a splenic vascular injury did not significantly affect the splenic salvage rate. The overall complication rate was 27%, of which 15% were minor and 13% were major.Conclusion: SAE is a safe and effective treatment strategy in the NOM of blunt splenic injury. The quantity of haemoperitoneum, the presence of vascular injury and embolisation technique did not significantly affect the splenic salvage rate.


2020 ◽  
Vol 31 (3) ◽  
pp. S182
Author(s):  
A. Gonzalez ◽  
M. Khaja ◽  
L. Wilkins ◽  
A. Park ◽  
J. Angle ◽  
...  

Injury ◽  
2014 ◽  
Vol 45 (5) ◽  
pp. 855-858 ◽  
Author(s):  
Kessel Boris ◽  
Swaid Forat ◽  
Ashkenazi Itamar ◽  
Olsha Oded ◽  
Peleg Kobi ◽  
...  

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