Splenic laceration - AAST grade IV

Case contributed by Lemuel Marquez Narcise , 23 Jul 2017
Diagnosis certain
Changed by Daniel J Bell, 23 Jul 2017

Updates to Case Attributes

Presentation was changed:
Young man involved in a surfing accident. Presented with abdominal pain and left upper quadrant tenderness in the emergency room. Decreasing hemoglobinhaemoglobin count during admission.
Body was changed:

Injury to the spleen is usually secondary to blunt trauma.  The arterial vessels of the spleen lack anastomosis and the spleen can be divided into vascular segments, which enablesallows for subtotal splenectomy or splenorraphy.  In this case, the primary goal was to stop active bleeding from the lacerated splenic artery branches.  After selective embolization, the hemoglobinhaemoglobin count of the patient has stabilizedstabilised.

  • -<p>Injury to the spleen is usually secondary to blunt trauma.  The arterial vessels of the spleen lack anastomosis and the spleen can be divided into vascular segments, which enables for subtotal splenectomy or splenorraphy.  In this case, the primary goal was to stop active bleeding from the lacerated splenic artery branches.  After selective embolization, the hemoglobin count of the patient has stabilized.</p>
  • +<p>Injury to the spleen is usually secondary to blunt trauma.  The arterial vessels of the spleen lack anastomosis and the spleen can be divided into vascular segments, which allows for subtotal splenectomy or splenorraphy.  In this case, the primary goal was to stop active bleeding from the lacerated splenic artery branches.  After selective embolization, the haemoglobin count of the patient stabilised.</p>

Updates to Quizquestion Attributes

Question was changed:
What is the most frequently injured internal organ after blauntblunt trauma?

Updates to Quizquestion Attributes

Question was changed:
What is the largest branch of the celiac trunkcoeliac axis?

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