The clinical and morphologic characteristics of the spleen ruptures

The trend to preserve the spleen whenever possible after its blunt trauma forced the necessity of the workout of the differentiative approach to the problem. The most disputable situation is the formation of the laminar subcapsular hematoma of the spleen. The conservative treatment of such lesions c...

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Bibliographic Details
Published inHirurgija (Moskva) no. 9; p. 32
Main Authors Vil'k, A P, Galankina, I E, Abakumov, M M
Format Journal Article
LanguageRussian
Published Russia (Federation) 2012
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Diagnosis, Differential
Female
Humans
Male
Middle Aged
Prognosis
Retrospective Studies
Splenectomy - methods
Splenic Rupture - diagnosis
Splenic Rupture - surgery
Tomography, X-Ray Computed
Trauma Severity Indices
Ultrasonography, Doppler
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - surgery
Young Adult
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Summary:The trend to preserve the spleen whenever possible after its blunt trauma forced the necessity of the workout of the differentiative approach to the problem. The most disputable situation is the formation of the laminar subcapsular hematoma of the spleen. The conservative treatment of such lesions can lead to the two-stage rupture with severe intraabdominal bleeding. Nevertheless, the results of the morphological analysis demonstrate the early beginning of reparative process around the hematoma, securing the possibility of the septic inflammation.
ISSN:0023-1207