Nonoperative management of splenic trauma in children

In haemodynamically stable children with splenic trauma, conservative treatment is recommended to preserve the spleen and prevent potentially lethal post-splenectomy infectious complications. We report on the case of a 11-year-old child who suffered a fistula of a huge subcapsular splenic hematoma i...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2007-10, Vol.14 (10), p.1196-1198
Main Authors: Couvrat, V, Mcheik, J-N, Ravasse, P, Levard, G
Format: Article
Language:fre
Subjects:
Child
Fistula - complications
Fistula - therapy
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - therapy
Hematoma - complications
Hematoma - therapy
Humans
Male
Spleen - injuries
Splenic Diseases - complications
Splenic Diseases - therapy
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Summary:In haemodynamically stable children with splenic trauma, conservative treatment is recommended to preserve the spleen and prevent potentially lethal post-splenectomy infectious complications. We report on the case of a 11-year-old child who suffered a fistula of a huge subcapsular splenic hematoma into the colon, 16 days after the traumatism. Decision to sustain the non-operative treatment allowed the preservation of the spleen without complications.
ISSN:0929-693X