ISSN: 1859 - 2872
Evaluation of results of non-operative management of spleen rupture due to blunt abdominal trauma at 108 Military Central Hospital
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Abstract
Objective: To evaluate the results of non-operative management of blunt spleen trauma. Subject and method: This study was conducted descriptively, retrospective, and prospectively without a control group of the cases who non-operative management of blunt spleen trauma from June 2015 to January 2021 at 108 Military Central Hospital. Result: A total of 161 patients were admitted with blunt spleen trauma; 142 were treated with non-operative management and 19 with emergency splenectomy. The mean age was 37.42 ± 14.83 years old, the male/female ratio was 3.3, a traffic accident was the main cause of spleen rupture (73.95%). Clinical symptoms: Abdominal pain (100%), abdominal distention (73.24%), abdominal wall injury (58.45%), and peritoneal tenderness (13.38%); the most common associated injury was blunt chest trauma (12.97%). Ultrasound: Fluid abdomen (92.96%), parenchymal lesions (69.01%). Computed tomography: Abdominal fluid (96.48%), location of splenic rupture (78.87%), intrasplenic hematoma (53.52%), subcapsular hematoma (10.56%), and contrast blush (2.82%), grade II and III splenic rupture accounted for the majority with rates of 26.76% and 59.86%, respectively. Successful non-operative management: 140 (98.59%) patients and 02 (1.41%) patients failed had to switch to splenectomy. The proportion of patients requiring blood transfusion (29.58%). The average length of hospital stay was 8.47 ± 3.97 days. Conclusion: Non-operative management of splenic rupture due to blunt abdominal trauma is safe and effective with a high success rate
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References
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