[Diagnosis and treatment of sequelae of splenic injury]

Posttraumatic splenolithiasis was diagnosed in 33 patients, late posttraumatic hematoma in 4, posttraumatic splenosis in 4, and posttraumatic thrombophlebitic splenomegaly in 8 patients. The diagnosis of the sequelae of injury to the spleen is based on the case history and results of ultrasonic examination, computerized tomography, scintigraphy, laparoscopy, and angiography. Complicated splenomegaly and hypersplenism are indications for operative treatment of the sequelae of trauma of the spleen. Splenectomy is the operation of choice. The results of puncture methods of treatment and organ-preserving operations are to be studied.