Abstract

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.

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