[Splenic angioembolization--a safe, efficient and rational approach]

Area of Science:

• Trauma surgery
• Interventional radiology
• Emergency medicine

Background:

• Post-traumatic splenic rupture is a common intra-abdominal injury.
• Nonoperative management is increasingly preferred for stable patients.
• Angioembolization is a key adjunct in successful nonoperative splenic injury management.

Observation:

• A case of grade III splenic rupture (AAST-OIS) with Injury Severity Score 10 and Revised Trauma Score 7841 was successfully managed nonoperatively.
• The patient underwent splenic angioembolization as the primary treatment modality.
• The procedure resulted in a favorable outcome without the need for splenectomy.

Findings:

• Splenic angioembolization is effective in achieving hemostasis for traumatic splenic injuries.
• The technique significantly increases the success rate of nonoperative splenic injury management.
• This case highlights the utility of angioembolization in complex splenic trauma.

Implications:

• Angioembolization should be considered a primary treatment option for select patients with splenic rupture.
• This approach preserves splenic function, avoiding the complications associated with splenectomy.
• The findings support the broader adoption of angioembolization in trauma centers, particularly in regions with limited resources.