Managing Massive Splenic Hematoma: Exploratory Laparotomy or Active Surveillance?

Splenic hematoma is a known complication of blunt force abdominal trauma. Traditional management of splenic hematomas has been primarily surgical. However, more recently, spleen-sparing management has been favored over surgical management for cases that meet certain criteria, with surgery now reserv...

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Detalles Bibliográficos
Autores principales: Otieno, Steve B, Wellikoff, Saradasri K, Weir, Alva, Ogbeide, Osarenren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192076/
https://www.ncbi.nlm.nih.gov/pubmed/34123663
http://dx.doi.org/10.7759/cureus.14967
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author Otieno, Steve B
Wellikoff, Saradasri K
Weir, Alva
Ogbeide, Osarenren
author_facet Otieno, Steve B
Wellikoff, Saradasri K
Weir, Alva
Ogbeide, Osarenren
author_sort Otieno, Steve B
collection PubMed
description Splenic hematoma is a known complication of blunt force abdominal trauma. Traditional management of splenic hematomas has been primarily surgical. However, more recently, spleen-sparing management has been favored over surgical management for cases that meet certain criteria, with surgery now reserved for patients with complications. In this report, we present a case of a massive splenic hematoma that was managed conservatively and analyze the challenges faced in clinical decision making.
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spelling pubmed-81920762021-06-11 Managing Massive Splenic Hematoma: Exploratory Laparotomy or Active Surveillance? Otieno, Steve B Wellikoff, Saradasri K Weir, Alva Ogbeide, Osarenren Cureus Internal Medicine Splenic hematoma is a known complication of blunt force abdominal trauma. Traditional management of splenic hematomas has been primarily surgical. However, more recently, spleen-sparing management has been favored over surgical management for cases that meet certain criteria, with surgery now reserved for patients with complications. In this report, we present a case of a massive splenic hematoma that was managed conservatively and analyze the challenges faced in clinical decision making. Cureus 2021-05-11 /pmc/articles/PMC8192076/ /pubmed/34123663 http://dx.doi.org/10.7759/cureus.14967 Text en Copyright © 2021, Otieno et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Otieno, Steve B
Wellikoff, Saradasri K
Weir, Alva
Ogbeide, Osarenren
Managing Massive Splenic Hematoma: Exploratory Laparotomy or Active Surveillance?
title Managing Massive Splenic Hematoma: Exploratory Laparotomy or Active Surveillance?
title_full Managing Massive Splenic Hematoma: Exploratory Laparotomy or Active Surveillance?
title_fullStr Managing Massive Splenic Hematoma: Exploratory Laparotomy or Active Surveillance?
title_full_unstemmed Managing Massive Splenic Hematoma: Exploratory Laparotomy or Active Surveillance?
title_short Managing Massive Splenic Hematoma: Exploratory Laparotomy or Active Surveillance?
title_sort managing massive splenic hematoma: exploratory laparotomy or active surveillance?
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192076/
https://www.ncbi.nlm.nih.gov/pubmed/34123663
http://dx.doi.org/10.7759/cureus.14967
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