Grade IV blunt splenic injury – the role of proximal angioembolization. A case report and review of literature • JML Journal of Medicine and Life

2013, Volume 6, Issue 4, pp 369 – 375

Grade IV blunt splenic injury – the role of proximal angioembolization. A case report and review of literature

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Authors and Affiliations

Gheju I ^*

Venter MD ^*

Beuran M ^**

Gulie L ^***

Racoveanu I ^****

Carstea P ^*

Iftimie Nastase I ^*

Venter DP ^**

* *3rd Department of Surgery, Clinical Emergency Hospital, Bucharest, Romania

** **“Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania

*** ***1st Department of Interventional Radiology, Clinical Emergency Hospital, Bucharest, Romania

**** ****Department of Radiology, Clinical Emergency Hospital, Bucharest, Romania

Correspondence to: Mircea Dan Venter, MD, PhD Clinical Emergency Hospital, Bucharest, 8 Calea Floreasca Street, Bucharest, Romania Phone: +40 21 599 2300, Mobile phone: +40 722 520 935, E-mail: mdventer2001@yahoo.com

Abstract

The authors present a case of grade IV traumatic spleen rupture (AAST-OIS) and an Injury Severity Score of 21 and a Revised Trauma Score RTS=7.841, which was managed without surgery, but with proximal splenic angioembolization (SAE), with a positive outcome. Indications, types and side-effects of SAE are also discussed with regard to blunt spleen trauma and the benefits of SAE as non-operative treatment approach. It is the first case of a grade IV splenic laceration non-operatively managed to be published in Romania.

Keywords

severe splenic lacerationnon-operative managementangio-embolization

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About this article

PMC ID: 3973874
PubMed ID: 24701254
DOI:

Article Publishing Date (print): 15-12-2013
Available Online: 25-12-2013

Journal information

ISSN Printing: 1844-122X
ISSN Online: 1844-3117
Journal Title: Journal of Medicine and Life

Copyright License: Open Access

This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use and redistribution provided that the original author and source are credited.