Nonoperative management of splenic trauma in children: a report of six consecutive cases.

ABSTRACT

Postsplenectomy sepsis, although infrequent, is real and hazardous. We have taken a nonoperative approach to the child with a ruptured spleen who is in stable condition. Six consecutive patients with a diagnosis confirmed by angiography or scan were treated without surgery. The results suggest the usefulness of this approach in the child who is not bleeding massively.