title: Management and treatment of splenic trauma in children.
abstract: OBJECTIVE
  To assess types of splenic traumas, accompanying injuries, their management and results.
  
  
  METHODS
  We studied the reports of 90 patients (64 boys, 26 girls) who were treated for splenic injuries as a result of blunt abdominal trauma between 2005-2012. Age, sex, hospitalization time, mechanisms of traumas, accompanying injuries and management methods were recorded.
  
  
  RESULTS
  Causes of trauma were falls from height (46 patients, 51%), pedestrian traffic accidents (17 patients, 19%), passenger traffic accidents (11 patients, 12%), bicycle accidents (10 patients, 11%) and falling objects from height (6 patients, 6.6%). Splenic injury alone was observed in 57 patients (63.3%) and other organ injuries together with splenic injury in 33 patients (36.7%). Splenectomy was performed in six patients (6.6%) due to hemodynamic instability and small intestine repair due to small intestine injury in one patient (1.1%). None of these patients died from their injuries.
  
  
  CONCLUSIONS
  A large proportion of splenic injuries recover with conservative therapy. Some of the advantages of conservative therapy include short hospitalization time, less need for blood transfusion, and less morbidity and mortality. Falls from height and traffic accidents are important factors in etiology. The possibility of other organ injuries together with splenic injuries should be considered.
authors.forename: Serkan
authors.initials: S
authors.lastname: Arslan
authors.forename: Mahmut
authors.initials: M
authors.lastname: Guzel
authors.forename: Cuneyt
authors.initials: C
authors.lastname: Turan
authors.forename: Selim
authors.initials: S
authors.lastname: Doğanay
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kopru
mesh_terms: D000058:Accidental Falls; D000063:Accidents, Traffic; D000293:Adolescent; D001803:Blood Transfusion / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D019468:Disease Management; D005260:Female; D006801:Humans; D007223:Infant; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery; D008297:Male; D009104:Multiple Trauma / Q000628:therapy; D012189:Retrospective Studies; D013154:Spleen / Q000293:injuries* / Q000601:surgery; D013156:Splenectomy / Q000706:statistics & numerical data; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000601:surgery / Q000628:therapy*