Revision 85 for 'Splenic laceration: AAST grade IV'

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Traumatic splenic laceration (AAST grade III)

Injury to the spleen is usually secondary to blunt trauma.  The arterial vessels of the spleen lack anastomoses and the spleen can be divided into vascular segments, which allows for subtotal splenectomy or splenorraphy.  In this case, there is a laceration involving the trabecular vessels and an intraparenchymal hematoma >5 cm in keeping with AAST grade III splenic injury. The primary goal was to stop active bleeding from the lacerated trabecular vessels.  After selective embolization, the hemoglobin count of the patient stabilized.

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