1 Jan 2015Article
Management and treatment of splenic trauma in children
Serkan Arslan 1Mahmut Guzel 2Cuneyt Turan 2Selim Dog˘anay 3Mehmet Kopru 4
Affiliations
Article Info
1 Department of Pediatric Surgery, Medical Faculty of Dicle University, Diyarbakır
2 Erciyes University, Faculty of Medicine, Department of Pediatric Surgery, Kayseri, Turkey
3 Erciyes University, Faculty of Medicine, Department of Radiology, Kayseri, Turkey
4 Erciyes University, Faculty of Medicine, Department of Biostatistics, Kayseri, Turkey
Ann. Ital. Chir., 2015, 86(1), 30-34;
Published: 1 Jan 2015
Copyright © 2015 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
AIM: To assess types of splenic traumas, accompanying injuries, their management and results. METHODS: We studied the reports of 90 patients (64 boys, 26 girls) who were treated for splenic injuries as a result of blunt abdominal trauma between 2005-2012. Age, sex, hospitalization time, mechanisms of traumas, accompanying injuries and management methods were recorded. RESULTS: Causes of trauma were falls from height (46 patients, 51%), pedestrian traffic accidents (17 patients, 19%), passenger traffic accidents (11 patients, 12%), bicycle accidents (10 patients, 11%) and falling objects from height (6 patients, 6.6%). Splenic injury alone was observed in 57 patients (63.3%) and other organ injuries together with splenic injury in 33 patients (36.7%). Splenectomy was performed in six patients (6.6%) due to hemodynamic instability and small intestine repair due to small intestine injury in one patient (1.1%). None of these patients died from their injuries. CONCLUSION: A large proportion of splenic injuries recover with conservative therapy. Some of the advantages of conservative therapy include short hospitalization time, less need for blood transfusion, and less morbidity and mortality. Falls from height and traffic accidents are important factors in etiology. The possibility of other organ injuries together with splenic injuries should be considered.
Keywords
- Trauma
- Children
- Management
- Pediatric
- Spleen
- Splenic