Splenic trauma

Revision as of 23:33, 19 July 2015 by Mholtz (talk | contribs)

Background

  • Most commonly injured visceral organ in blunt trauma

Clinical Features

Differential Diagnosis

Abdominal Trauma

Diagnosis

  • FAST to search for free floating fluid
  • CT scan
  • Exploratory laparotomy in unstable pts

Management

  • Nonoperative management of splenic injuries has failure rate of 10-15%
    • Some advocate nonoperative management only if <55yr and CT injury grade less than IV

Disposition

See Also

References