Splenic trauma: Difference between revisions
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==Management== | ==Management== | ||
*Nonoperative management of splenic injuries has failure rate of 10-15% | *Nonoperative management | ||
**24-72 hours strict bed rest | |||
**Repeat CT 7 days after injury | |||
**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 | **Some advocate nonoperative management only if <55yr and CT injury grade less than IV | ||
Revision as of 01:35, 22 July 2015
Background
- Most commonly injured visceral organ in blunt trauma
Clinical Features
- LUQ pain
- Signs of shock
- Hypotension
- Left lower rib pain
- Kehr's sign
Differential Diagnosis
Abdominal Trauma
- Abdominal compartment syndrome
- Diaphragmatic trauma
- Duodenal hematoma
- Genitourinary trauma
- Liver trauma
- Pelvic fractures
- Retroperitoneal hemorrhage
- Renal trauma
- Splenic trauma
- Trauma in pregnancy
- Ureter trauma
Diagnosis
- FAST to search for free fluid
- CT scan
- Exploratory laparotomy in unstable pts
- DPL
Management
- Nonoperative management
- 24-72 hours strict bed rest
- Repeat CT 7 days after injury
- 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
- Rosens