[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 into the colon, 16 days after the traumatism. Decision to sustain the non-operative treatment allowed the preservation of the spleen without complications.
Couvrat
V
V
Département médicochirurgical de pédiatrie, hôpital J-Bernard, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
Mcheik
J-N
JN
Ravasse
P
P
Levard
G
G
D002648:Child; D005402:Fistula / Q000150:complications / Q000628:therapy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy; D006406:Hematoma / Q000150:complications / Q000628:therapy; D006801:Humans; D008297:Male; D013154:Spleen / Q000293:injuries*; D013158:Splenic Diseases / Q000150:complications / Q000628:therapy*