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Successful embolization of a delayed splenic rupture following trauma in a child
Sabine Vasseur Maurer1, Alban Denys, Nicolas Lutz
1Pediatric Surgery Department, University Hospital CHUV, Lausanne, Switzerland. sabine.vasseur@chuv.ch
Insights
Delayed spleen rupture in children is rare but treatable. Arterial embolization successfully preserved splenic tissue, avoiding surgery in a hemodynamically stable patient.
Area of Science:
- Pediatric Traumatology
- Interventional Radiology
Background:
- Delayed splenic rupture following blunt abdominal trauma is a rare clinical event in pediatric patients.
- Management strategies aim to preserve splenic function while ensuring patient stability.
Observation:
- A case of delayed splenic rupture in a pediatric patient is presented.
- The patient was hemodynamically stable despite the delayed presentation.
Findings:
- Successful arterial embolization was performed to manage the splenic injury.
- This intervention successfully avoided the need for splenectomy, preserving functional splenic tissue.
Implications:
- Arterial embolization is a viable and effective treatment for hemodynamically stable children with blunt splenic injuries, including those with delayed rupture.
- Further research is needed to establish precise criteria for the use of embolization in such cases.
Abstract:
Delayed rupture of the spleen following trauma is an exceedingly rare phenomenon in children. In the case we have experienced, arterial embolization was successfully performed, surgery was avoided, and functional splenic tissue was preserved. Embolization is of value in the management of blunt splenic injuries in hemodynamically stable children, even after delayed rupture. The exact criteria for its use remain to be established.
