title: Results of non-operative management of splenic trauma and its complications in children.
abstract: BACKGROUND
  Non-operative management (NOM) of splenic trauma in children is currently the treatment of choice.
  
  
  OBJECTIVE
  We report a series of 83 cases in order to compare our results with literature data.
  
  
  METHODS
  For this, we conducted a retrospective study of 13 years and collected 83 cases of children with splenic trauma contusion, managed at Lapeyronie Montpellier Hospital in Visceral Pediatric Surgery Department. The studied parameters were age, sex, circumstances, the blood pressure (BP), hematology, imaging, associated injuries, transfusion requirements, treatment, duration of hospital stay, physical activity restriction and evolution.
  
  
  RESULTS
  NOM was successful in 98.7% of cases. We noted 4 complications including 3 pseudo aneurysms (PSA) of splenic artery and 1 pseudocyst spleen with a good prognosis. There was no mortality in our series.
  
  
  CONCLUSIONS
  NOM is the treatment of choice for splenic trauma in children with a success rate of over 90%. Complications are rare and are dominated by the PSA of splenic artery.
authors.affiliation: Department of Pediatric Surgery, Aristide Le Dantec Hospital, Dakar, Sénégal, France.
authors.forename: Ndour
authors.initials: N
authors.lastname: Oumar
authors.affiliation: Department of Pediatric Urology and visceral surgery Pediatric Surgery of Lapeyronie Hospital Montpellier, France.
authors.forename: Forgues
authors.initials: F
authors.lastname: Dominique
authors.affiliation: Department of Pediatric Urology and visceral surgery Pediatric Surgery of Lapeyronie Hospital Montpellier, France.
authors.forename: Kalfa
authors.initials: K
authors.lastname: Nikola
authors.affiliation: Department of Pediatric Urology and visceral surgery Pediatric Surgery of Lapeyronie Hospital Montpellier, France.
authors.forename: Guibal Marie
authors.initials: GM
authors.lastname: Pierre
authors.affiliation: Department of Pediatric Surgery, Aristide Le Dantec Hospital, Dakar, Sénégal, France.
authors.forename: Ndoye
authors.initials: N
authors.lastname: Mamadou
authors.affiliation: Department of Pediatric Urology and visceral surgery Pediatric Surgery of Lapeyronie Hospital Montpellier, France.
authors.forename: Galifer René
authors.initials: GR
authors.lastname: Benoit
keywords: Contusion; child-non-operative management; complications; fracture; pseudo aneurysm; spleen