scholarly journals Nonoperative management of blunt splenic trauma: Outcomes of Gelfoam embolization of the splenic artery

2018 ◽  
Vol 11 (4) ◽  
pp. 293
Author(s):  
Vicki Moran ◽  
Carl Freeman ◽  
Adam Fang ◽  
Heidi Isreal ◽  
Shuran Ma ◽  
...  
2018 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Qaasim Dollie

Background: Blunt injury of the spleen is common and with the shift towards nonoperative management in haemodynamically stable patients, the delayed development of splenic artery pseudoaneurysms are of great concern. Management traditionally involves angioembolisation with the intent to preserve splenic function; however recent studies suggest that this is not without complication.Case presentation: We present a rare case of delayed splenic pseudoaneurysm arising 6 days post motorbike accident, with initial computerised tomography showing no evidence of splenic injury. The patient was successfully embolised and progressed well without complication. No clear cause was found for his development of splenic injury.Conclusions: Splenic artery pseudoaneurysms are not uncommon and necessitate follow-up imaging after nonoperative management of blunt splenic trauma. Once diagnosed, embolisation versus conservative management can be considered on a case-by-case basis.


2021 ◽  
Vol 38 (01) ◽  
pp. 105-112
Author(s):  
Majd Habash ◽  
Darrel Ceballos ◽  
Andrew J. Gunn

AbstractThe spleen is the most commonly injured organ in blunt abdominal trauma. Patients who are hemodynamically unstable due to splenic trauma undergo definitive operative management. Interventional radiology plays an important role in the multidisciplinary management of the hemodynamically stable trauma patient with splenic injury. Hemodynamically stable patients selected for nonoperative management have improved clinical outcomes when splenic artery embolization is utilized. The purpose of this article is to review the indications, technical aspects, and clinical outcomes of splenic artery embolization for patients with high-grade splenic injuries.


1989 ◽  
Vol 210 (5) ◽  
pp. 626-629 ◽  
Author(s):  
WALTER E. LONGO ◽  
CHRISTOPHER C. BAKER ◽  
MARVIN A. McMILLEN ◽  
IRVIN M. MODLIN ◽  
LINDA C. DEGUTIS ◽  
...  

2018 ◽  
Vol 42 (8) ◽  
pp. 2404-2411 ◽  
Author(s):  
Navpreet K. Dhillon ◽  
Galinos Barmparas ◽  
Gretchen M. Thomsen ◽  
Kavita A. Patel ◽  
Nikhil T. Linaval ◽  
...  

2015 ◽  
Vol 38 (5) ◽  
pp. 1143-1151 ◽  
Author(s):  
P. T. Foley ◽  
H. Kavnoudias ◽  
P. U. Cameron ◽  
C. Czarnecki ◽  
E. Paul ◽  
...  

2008 ◽  
Vol 35 (2) ◽  
pp. 108-114 ◽  
Author(s):  
Osnat Zmora ◽  
Yitzhak Kori ◽  
David Samuels ◽  
Ada Kessler ◽  
Carl I. Schulman ◽  
...  

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