| ORIGINAL ARTICLE |
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| Year : 2014 | Volume
: 19
| Issue : 3 | Page : 147-150 |
Results of non-operative management of splenic trauma and its complications in children
Ndour Oumar1, Forgues Dominique2, Kalfa Nikola2, Guibal Marie Pierre2, Ndoye Mamadou1, Galifer Rene Benoit2
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
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9261.136468
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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