Nonoperative management of splenic trauma in children: a report of six consecutive cases.
Postsplenectomy sepsis, although infrequent, is real and hazardous. We have taken a nonoperative approach to the child with a ruptured spleen who is in stable condition. Six consecutive patients with a diagnosis confirmed by angiography or scan were treated without surgery. The results suggest the usefulness of this approach in the child who is not bleeding massively.
D001803:Blood Transfusion; D002648:Child; D005260:Female; D006400:Hematocrit; D006801:Humans; D007223:Infant; D008297:Male; D011877:Radionuclide Imaging; D012146:Rest; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries*; D013161:Splenic Rupture / Q000628:therapy