Scientific papersComplications arising from splenic embolization after blunt splenic trauma
Section snippets
Methods
Trauma registry (TraumaBase, Clinical Data Management, Evergreen, Colorado) and medical record information of patients with splenic injuries admitted to Miami Valley Hospital (MVH), an ACS-verified adult and pediatric trauma center, between January 2000 and February 2004 were reviewed. Patients were grouped by management method of their splenic injury: operative or nonoperative. Individuals who underwent SAE were selected for detailed analysis. Age, sex, length of stay, associated injuries,
Results
During the 26-month period of review (January 2000 to February 2004), 284 patients were admitted to MVH with blunt splenic trauma. Ninety-three patients underwent operative management (82 splenectomies, 8 splenorrhaphies, and 3 resuscitative thoracotomies), and 191 underwent NOM.
Fifteen patients in the NOM group underwent SAE (7.8%). In this embolization group, there were 11 men and 4 women with ages ranging from 17 to 84 years (average 36.2). Injury was caused by motor vehicle crashes in 12
Comments
The earliest reports of splenic embolization in the literature were in the settings of hematologic disorders [10]. Typical indications cited in the literature include splenic artery aneurysms [11], portal hypertension with hypersplenism [12], and just before laparoscopic splenectomy [13]. Complications noted after SAE in nontrauma patients include splenic abscess, rupture of the spleen, pancreatitis, pneumonia, and septicemia [14], [15]. These patients undergoing SAE in nontraumatic settings
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