Vol. 9, Issue 1, Part A (2025)
Ruptured spleen: A clinical analysis of management and outcomes
Talib Muhsin Hussein
This comprehensive study examines the clinical presentation, management strategies and outcomes of splenic injury at 2 years and 6 months It was conducted at Al-Karema Teaching Hospital and Al Zahraa Teaching Hospital of Wasit governorate this study included 42 documented cases of splenectomy as emergency. Trauma to the spleen or as complications it is a particular challenge because of the potential and high mortality if left untreated.
The study shows that the majority of cases (73.8%) have mild trauma., with 23.7% penetrating injuries and one iatrogenic case The study highlights the important role of advanced diagnostic tools such as imaging in determining the extent of injury and guiding treatment decisions. Management strategies were tailored to the type of injury, with immediate surgical intervention for penetrating injuries and delay surgery for mild trauma based on clinical indications. Splenectomy emerged as the dominant strategy so used, which was done in 92.8% of the cases, although it was done in children as selected cases to preserve immunity prioritizing splenic repair Complications were observed in 23% of cases, with infections and thrombotic events being the most common, while mortality was recorded as 12.8%.
The study emphasizes the importance of timely diagnosis, advanced imaging modalities, and a multidisciplinary approach to deliver optimal outcomes in splenic injury surgery, particularly in healthcare settings emphasizing the limited resources available.
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