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Splenic Trauma: should we treat differently?

By Predrag Andrejevic and Godfrey LaFerla

Abstract

A 36 year old male was admitted to Accident and Emergency Department following a motor vehicle accident. Clinical examination revealed a haemodynamically stable patient. Abdominal examination showed tenderness in right upper quadrant. Ultrasonography of the abdomen was normal. Haemoglobin on admission was 13 gm/dl. A repeated haemoglobin six hours later revealed a Hb of 10 gm/dl. Computerized tomography(CT) of the abdomen showed a ruptured spleen. As the patient was haemodynamically stable, it was decided to treat the patient in the HDU setting. His condition remained stable and he was fit to be discharged home on the fifth post-operative day

Topics: Abdomen -- Examination -- Tomography, Spleen -- Blunt trauma
Publisher: Malta Medical Journal
Year: 2003
OAI identifier: oai:www.um.edu.mt:123456789/463
Provided by: OAR@UM

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Citations

  1. (2001). Factors affecting the outcome of patients with splenic trauma. The American Surgeon
  2. (1990). Management of splenic injuries. Surg Clin of North Am - doi
  3. (2001). Non-operative management of blunt splenic injuries: factors influencing success in age > 55 Years. The American Surgeon
  4. (1989). Non-operative management of blunt splenic trauma: A multi-center experience.

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