Grade IV blunt splenic injury--the role of proximal angioembolization. A case report and review of literature.
The authors present a case of grade IV traumatic spleen rupture (AAST-OIS) and an Injury Severity Score of 21 and a Revised Trauma Score RTS=7.841, which was managed without surgery, but with proximal splenic angioembolization (SAE), with a positive outcome. Indications, types and side-effects of SAE are also discussed with regard to blunt spleen trauma and the benefits of SAE as non-operative treatment approach. It is the first case of a grade IV splenic laceration non-operatively managed to be published in Romania.
3rd Department of Surgery, Clinical Emergency Hospital, Bucharest, Romania.
I
I
Gheju
3rd Department of Surgery, Clinical Emergency Hospital, Bucharest, Romania.
M D
MD
Venter
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
M
M
Beuran
1st Department of Interventional Radiology, Clinical Emergency Hospital, Bucharest, Romania.
L
L
Gulie
Department of Radiology, Clinical Emergency Hospital, Bucharest, Romania.
I
I
Racoveanu
3rd Department of Surgery, Clinical Emergency Hospital, Bucharest, Romania.
P
P
Carstea
3rd Department of Surgery, Clinical Emergency Hospital, Bucharest, Romania.
I
I
Iftimie Nastase
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
D P
DP
Venter
D000328:Adult; D006801:Humans; D008297:Male; D013161:Splenic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*
angio-embolization; non-operative management; severe splenic laceration