SPLENIC INJURY: A BRIEF SURGICAL MANAGEMENT

Cutest organ but a graveyard of blood cells without which capsulated organisms can invade.

1. DR RESHMA CHANDRASEKARAN DNB GENERAL SURGERY RESIDENT SPLENIC INJURY

2. OBJECTIVES INTRODUCTION MODE OF INJURY SIGNS AND SYMPTOMS DIAGNOSTIC MODALITIES GRADES OF INJURY TREATMENT PLAN OPSI

3. INTRODUCTION Spleen is the most common organ injured in blunt abdominal trauma. SUSPECT : fracture of 9 th -11 th ribs left side. Bruising over left lower chest wall. Kehr sign: Accumulation of blood below left dome of diaphragm causing referred pain to left shoulder tip.

4. INTRODUCTION Following splenectomy there are significant ,though transient changes to blood physiology. The platelet and WBCs rice mimicking sepsis. M/C complication post splenectomy: left lower lung complications/ atelectasis/ pneumonia OPSI is a real clinical danger hence immunization and antibiotics should be considered.

5. Weighs 75-250g Measures 10*7*3 cm Long axis along 10 th rib

6. MECHANISM OF INJURY

7. AAST

8. TAKE HOME POINTS Spleen is the most common organ injured in blunt abdominal trauma. Vaccination before splenectomy is more effective than after. OPSI is life threatening than splenectomy surgery. Sepsis is greatest within the first 2-3 years post splenectomy. Children below 5 years with splenectomy should take antibiotics (penicillin group) till 10 years of age.

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