Selective Non-operative Management of Blunt Splenic Injury

doi:2013.3.1.29

J Acute Care Surg > Volume 3(1); 2013 > Article

Case Report

Journal of Surgical Critical Care 2013;3(1):29-31.
DOI: https://doi.org/10.17479/jacs.2013.3.1.29 Published online April 20, 2013.

Selective Non-operative Management of Blunt Splenic Injury

외상성 비장 손상에서 비수술적 치료

이승환*ㆍ장지영*ㆍ심홍진†ㆍ이재길*

*Department of Surgery, Yonsei University College of Medicine, Seoul, †Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea

Abstract

In traumatic splenic injury, hemodynamically instability and hollow viscus injuries are indicated for surgical intervention. However, patients who are hemodynamically stable and do not have peritonitis are considered for nonoperative management. Splenic angirogram and embolization is the mainstem of nonoperative management of bleeding splenic injury with hemodynamically stability. Recently, splenic embolization is replacing the surgical interven-tion for splenic injured patients who ishemodynamically unstable. We report the case success-fullytreated using angiographic embolization for hemodynamically compromised splenic injured patient. (J Surg Crit Care 2013;3:29-31)

Key Words: Traumatic, Splenic injury, Nonoperative management, Splenic embolization