SPLENIC INJURY-ANALYSIS OF CLINICAL SIGNS AND OUTCOMES

Abstract

Purpose: The purpose of this study is to analyze clinical findings and treatment outcomes in patients with splenic injury from blunt abdominal trauma. Material and Methods: Data from 49 patients with splenic injury from blunt abdominal trauma was processed within a retrospective clinical analysis for the period of 1.1. 2014 to 31.12. 2015 in the General, Visceral and Emergency Surgery Section of the UMHATEM "Pirogov". Of the hospitalized women were 18 (36.73%), men 31 (63.27%). The age in this retrospective analysis ranged from 18 to 83 years (average 45.7 years). Results: Splenectomy was performed in 46 patients (93.88%) and in the remaining three- definitive haemostasis. Hospital stays varied from 6 to 17 days (average 7.4 days). Morbidity rate was 12.24% (6 patients). Mortality rate- 8.16% Conclusions: Most patients with injury of the spleen from blunt abdominal trauma present with signs of abdominal pain and tenderness. Much of them have trauma or injury to the lower left chest, indicating a possible lesion of the spleen. Timely identification, aggressive resuscitation therapy and optimal surgical intervention are the steps toward favorable results.

Keywords

• splenic injury
• blunt abdominal trauma
• surgery
• clinical signs
• symptoms