[Nonoperative management of splenic trauma in children]

Area of Science:

• Pediatric Surgery
• Trauma Management
• Spleen Preservation

Background:

• Conservative management is standard for hemodynamically stable pediatric splenic trauma.
• The goal is to preserve spleen function and avoid post-splenectomy complications.

Observation:

• A rare case of a large subcapsular splenic hematoma with a fistula to the colon occurred 16 days post-trauma.
• The patient was an 11-year-old child.

Findings:

• Non-operative treatment was successfully continued.
• The spleen was preserved without any complications.

Implications:

• This case supports conservative management even in complex splenic trauma presentations.
• Spleen preservation is achievable and safe, preventing severe infectious risks.