Management and treatment of splenic trauma in children
Serkan Arslan 1, Mahmut Guzel 2, Cuneyt Turan 2, Selim Dog˘anay 3, Mehmet Kopru 4
1 Department of Pediatric Surgery, Medical Faculty of Dicle University, Diyarbakır Medical School of Erciyes University, Departments of Pediatric Surgery, Radiology and Biostatistics, Kayseri, Turkey
2 Erciyes University, Faculty of Medicine, Department of Pediatric Surgery, Kayseri, Turkey Medical School of Erciyes University, Departments of Pediatric Surgery, Radiology and Biostatistics, Kayseri, Turkey
3 Erciyes University, Faculty of Medicine, Department of Radiology, Kayseri, Turkey Medical School of Erciyes University, Departments of Pediatric Surgery, Radiology and Biostatistics, Kayseri, Turkey
4 Erciyes University, Faculty of Medicine, Department of Biostatistics, Kayseri, Turkey Medical School of Erciyes University, Departments of Pediatric Surgery, Radiology and Biostatistics, Kayseri, Turkey
Ann. Ital. Chir. 2015, 86(1), 30–34
Published: 1 Jan 2015
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.