Citation

Briassoulis G, Fitrolaki DM, Tavladaki T, Voloudaki A, Ilia S. Pediatr. Emerg. Care 2015; 32(1): 34-35.

Affiliation

From the *Pediatric Intensive Care Unit, University Hospital, University of Crete; and †Department of Radiology, University Hospital, University of Crete, Heraklion, Greece.

Copyright

(Copyright © 2015, Lippincott Williams and Wilkins)

DOI

10.1097/PEC.0000000000000528

PMID

26383156

Abstract

Splenic injury due to blunt abdominal trauma is an emergency condition in pediatrics. We present a case of a 10-year-old girl who presented to the emergency department 12 hours after a fall from height with abdominal pain, vomiting, and left upper quadrant tenderness and was found to have splenic rupture. Because of extensive bleeding and hemodynamic instability, emergency exploratory laparotomy was performed. Splenic bleeding lacerations were controlled by sutures and tamponade, and ipsilateral intrathoracic hemorrhagic fluid was drained with a good recovery. In this article, we emphasize the importance of early recognition, proper imaging, and splenic conservation where possible in pediatric blunt trauma.

Language: en