General & Soft Tissue Surgery
Spleen
Splenic injury and splenectomy: the aetiology and clinical features of rupture, the AAST grading from subcapsular haemorrhage to a shattered spleen, and the decision between conservative management and operation.
What this lecture covers
- Rupture of the spleen: aetiology
- Clinical features and the delayed presentation
- Diagnostic investigations
- Grade I and II injury: subcapsular haemorrhage and haematoma
- Grade IV and V injury: laceration and the shattered spleen
- The grading system for splenic injury
- Conservative management and when it fails
- Splenectomy and overwhelming post-splenectomy infection
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