Splenic injury: a clinical study and management in a tertiary care hospital

Ahmed, Hussain Gadelkarim; Pegu, Niju; Rajkhowa, Kabir; Baishya, Rabindra Kumar; Hiquemat, Najim

doi:10.18203/2349-2902.isj20151096

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…This data is consistent with the report of Kasula et al with greatest number of patients in the age group 31-40 years. 6 In our study, most of the patients sustained splenic injury due to blunt trauma abdomen which is consistent with other studies of Ahmed et al, Agbakwuru et al and Kasula et al [6][7][8] However, in the study by Arpit et al, penetrating trauma was the most common cause of splenic injury. 9 The common cause of blunt trauma abdomen in our study was road traffic accident which correlates with the studies shown by Goins et al and Khanna et al 10,11 In our study, most of the patients had grade III splenic trauma (36%) followed by grade IV (22%).…”

Section: Discussionsupporting

confidence: 91%

Study of the spectrum of splenic trauma in tertiary care centre in GMC Jammu

et al. 2022

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Background: the aim of the study was to study the clinical presentations, modes of management and outcome in a patient with splenic trauma. Setting and design of study retrospective observational study conducted in a tertiary care hospital in GMC Jammu.Methods: The study was done in the department of general surgery in a tertiary care centre that has round the clock availability of all radiological investigations. A total 50 cases of splenic trauma diagnosed by focussed abdominal sonography in trauma (FAST) or CT scan or per operatively were enrolled in the study.Results: Maximum number (36%) of patients were aged between 31-40 years of age. Most of the patients (92%) presented with blunt abdominal trauma. RTA (40%) and fall (40%) were the common causes of blunt abdominal trauma. Maximum patients (36%) had grade III splenic injury.30% of the patients managed by NOM while 70% underwent splenectomy.Conclusions: Patients with splenic injury (grade I-grade III) can be managed by NOM without increased morbidity and mortality through proper monitoring.

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Section: Discussionsupporting

confidence: 91%

Study of the spectrum of splenic trauma in tertiary care centre in GMC Jammu

et al. 2022

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“…Tripathi, et al, also reported abdominal pain as the commonest symptom in 91.4% of their cases of splenic trauma. Ahmed, et al, documented that the rigidity was observed only in 10% of their cases mainly to the left side of the upper abdomen [8]. Jervis, et al, observed that rigidity was a reliable finding in a patient with blunt abdominal trauma [9].…”

Section: Discussionmentioning

confidence: 99%

Management of Splenic Injury in Blunt Abdominal Trauma- A Cross-Sectional Study

Goel¹

2023

JSRP

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Background: Spleen is the most commonly injured solid organ following blunt trauma. Motor vehicle collision account for more than 75% of splenic injuries. In up to 60% of patients, the spleen is the only organ injured, with mortality rates of roughly 8.5%. Some studies quote that more than half of blunt splenic injuries can be managed by non-operative management with morbidity similar to or less than that of operative management. The management of blunt splenic trauma has therefore shifted towards non operative management. Objective: To study the management of splenic injury in blunt abdominal trauma. Material and Methods: A Cross-sectional study was conducted in the department of Surgery, Rohilkhand Medical College and Hospital, Bareilly from 1st November 2020 to 31st October 2021. 36 patients of splenic trauma were included in the study. Result: All grade I and II and 7 out of 10 grade III splenic injuries were managed conservatively. Three patients with grade III splenic damage underwent surgical intervention, with one undergoing splenectomy and two undergoing splenorrhaphy. In Grade IV splenic damage, 6 out of 7 patients were managed operatively, splenectomies were performed in 5 patients and splenorrhaphy was performed in 1 patient. All patients with grade V injuries underwent a splenectomy. Conclusion: In our study, patients with Grade I and Grade II splenic trauma and the majority of Grade III trauma a total of 52.5% of patients could be managed conservatively.

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“…This being the most active period of life when movements in motor vehicles and outdoor works result in increased risk of trauma. 2 Spleen is susceptible to injury during trauma to the left lower thorax or left upper abdomen. Other injuries that may be associated with it include injuries to the rib cage, diaphragm, pancreas, and bowel.…”

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confidence: 99%

Splenic Injury- A Prospective Study from Tertiary Care

Rathore¹,

Dogra²,

Sharma³

2019

jebmh

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BACKGROUNDSpleen is the most frequently injured organ in blunt trauma abdomen. Injury to spleen can result in deadly outcomes. Its management spans from conservative approach to surgical interventions such as Splenectomy. METHODSThis is a prospective study undertaken at Government Medical College, Jammu, from 1st November 2017 to 31 st October 2018. All patients with blunt splenic trauma, resulting from falls or Road Traffic Accidents, admitted to the Emergency Department of General Surgery, were thoroughly examined with concomitant resuscitation. After evaluation, they were either operated or managed conservatively. RESULTSOut of fifty patients enrolled in this study, majority was males in the 20-40 years age group. They presented mostly with pain and tenderness in upper abdomen. Other associated injuries were also present in 16 cases. More than half of the patients (59.26%) suffered from grade 2 splenic injuries while on 14.81% suffered from grade 5 splenic injury. 14 patients were managed conservatively, 36 patients required operative intervention. Complications were recorded in 20 while there were 3 mortalities. CONCLUSIONSThis study emphasises the use of CT and Ultrasonography in the evaluation and adoption of a conservative approach in managing stable cases of isolated lowgrade splenic trauma.

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Splenic injury: a clinical study and management in a tertiary care hospital

Cited by 3 publications

References 12 publications

Study of the spectrum of splenic trauma in tertiary care centre in GMC Jammu

Study of the spectrum of splenic trauma in tertiary care centre in GMC Jammu

Management of Splenic Injury in Blunt Abdominal Trauma- A Cross-Sectional Study

Splenic Injury- A Prospective Study from Tertiary Care

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