Many patients with blunt splenic injuries may be safely managed without surgery. However, a number of findings may indicate that non-operative management has or will fail and that surgery is needed.
Risk factors associated with a failure of non-operative management:
(1) persistent hemodynamic instability after initial resuscitation
(2) underlying disease within the spleen
(3) splenic trauma grade III to V
(4) hemoperitoneum on CT scan
(5) very young or very old (extremes of age)
To read more or access our algorithms and calculators, please log in or register.
