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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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 ORIGINAL ARTICLE
Year : 2014  |  Volume : 19  |  Issue : 3  |  Page : 147-150

Results of non-operative management of splenic trauma and its complications in children


1 Department of Pediatric Surgery, Aristide Le Dantec Hospital, Dakar, Sénégal, France
2 Department of Pediatric Urology and visceral surgery Pediatric Surgery of Lapeyronie Hospital Montpellier, France

Correspondence Address:
Ndour Oumar
Department of Pediatric Surgery, Aristide Le Dantec Hospital, BP : BP 3001 Dakar - Etoile, Dakar, Sénégal
France
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.136468

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Introduction: Non-operative management (NOM) of splenic trauma in children is currently the treatment of choice. Purpose: We report a series of 83 cases in order to compare our results with literature data. Patients and Methods: For this, we conducted a retrospective study of 13 years and collected 83 cases of children with splenic trauma contusion, managed at Lapeyronie Montpellier Hospital in Visceral Pediatric Surgery Department. The studied parameters were age, sex, circumstances, the blood pressure (BP), hematology, imaging, associated injuries, transfusion requirements, treatment, duration of hospital stay, physical activity restriction and evolution. Results: NOM was successful in 98.7% of cases. We noted 4 complications including 3 pseudo aneurysms (PSA) of splenic artery and 1 pseudocyst spleen with a good prognosis. There was no mortality in our series. Conclusion: NOM is the treatment of choice for splenic trauma in children with a success rate of over 90%. Complications are rare and are dominated by the PSA of splenic artery.






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