Blunt splenic trauma in children.
Splenic trauma in 96 patients over an 11-year period is reviewed. Almost 80% of injuries resulted from motor vehicle accidents in which the patients was a pedestrian, and over 80% of patients sustained multiple injuries. Splenic injury was confirmed by isotope scanning at laparotomy. Non-operative management was feasible in 87.5% of the children, with no mortality or morbidity. In patients requiring surgery, splenic salvage was possible in 75%.
Department of Paediatric Surgery, University of Cape Town.
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K
Lakhoo
D H
DH
Bass
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S
Cywes
D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D013154:Spleen / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000628:therapy*