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http://dx.doi.org/10.20408/jti.2021.0077

Very large haematoma following the nonoperative management of a blunt splenic injury in a patient with preexisting liver cirrhosis: a case report  

Jeong, Euisung (Division of Trauma, Department of Surgery, Chonnam National University Hospital)
Jo, Younggoun (Division of Trauma, Department of Surgery, Chonnam National University Hospital)
Park, Yunchul (Division of Trauma, Department of Surgery, Chonnam National University Hospital)
Kim, Jungchul (Division of Trauma, Department of Surgery, Chonnam National University Hospital)
Jang, Hyunseok (Division of Trauma, Department of Surgery, Chonnam National University Hospital)
Lee, Naa (Division of Trauma, Department of Surgery, Chonnam National University Hospital)
Publication Information
Journal of Trauma and Injury / v.35, no.1, 2022 , pp. 66-70 More about this Journal
Abstract
The spleen is the most commonly injured organ after blunt abdominal trauma. Nonoperative management (NOM) is the standard treatment for blunt splenic injuries in haemodynamically stable patients without peritonitis. Complications of NOM include rebleeding, new pseudoaneurysm formation, splenic abscess, and symptomatic splenic infarction. These complications hinder the NOM of patients with blunt splenic injuries. We report a case in which a large haemorrhagic fluid collection that occurred after angio-embolisation was resolved by percutaneous drainage in a patient with liver cirrhosis who experienced a blunt spleen injury.
Keywords
Hematoma; Spleen; Wounds and injuries;
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