Splenic Trauma Management in a Tertiary Care Hospital

Abstract

Background: Splenic injuries are one of the most common injuries sustained following blunt
abdominal trauma all over the world. Significant mortalities and morbidities result due to
splenic injury. Hence prompt diagnosis followed by optimal and effective treatment is the
cornerstone for saving lives in this group of patients. Aims & Objective: Our study aims to
find out the incidence, the treatment modalities, and the outcome of complications following
splenic injury. Materials and Method: We did a prospective study including the patients
attending the emergency department of Assam Medical College with splenic trauma with or
without any other organ injuries following trauma for a period of 1 year. After clinical
examination, we used USG(FAST) in the emergency setting and CECT to confirm and grade
the injuries and accordingly imparted treatment for splenic injuries in either the conservative
(Non-Operative) or Surgical line. We carefully watched for any post-operative complications
that developed in some cases and also the overall outcome of patients in regard to mortality
and morbidity. Result: Out of 36 patients with splenic injury all were following blunt trauma
with maximum incidence in the age group of 30-39 years with 15 patients (50%) having
Grade II and 8 patients (26.67%) having Grade I splenic injury on CECT. 31(86.11%)
patients were treated conservatively (Non-operatively) while 5(13.89%) patient were treated
surgically with death of total 2(5%) patients from the each group.