Size of Splenic Subcapsular Hematoma Is Associated With Varying Outcomes of Nonoperative Management.
Am Surg
; 90(8): 2070-2072, 2024 Aug.
Article
em En
| MEDLINE
| ID: mdl-38553793
ABSTRACT
The presence of a splenic subcapsular hematoma (SCH) has been associated with higher rates of failure of nonoperative management (FNOM) in patients with blunt splenic injury (BSI), with rates up to 80%. We hypothesized that contemporary rates are lower. A retrospective review was conducted of patients admitted with BSI to a level I trauma center (2016-2021). Patients with SCH who had FNOM were compared to those who did not. There were 661 BSI patients, of which 102 (15.4%) had SCH. Among the SCH patients, 8 (7.8%) had FNOM. Failure of nonoperative management was higher in patients who had a SCH measuring 15 mm or greater. To the best of our knowledge, this is the largest study to date examining the relationship between SCH and FNOM. The presence of a SCH alone is not associated with a high risk for FNOM contrary to previous literature. However, SCH thickness was larger in those who failed.
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Base de dados:
MEDLINE
Assunto principal:
Baço
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Esplenopatias
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Ferimentos não Penetrantes
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Hematoma
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article