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Successful nonoperative management of a simultaneous high-grade splenic injury and devascularized kidney in
Peter Thanh Tam Nguyen1, Jeremy M Hsu1,2
1Trauma Service, Westmead Hospital, Sydney, Australia.
Abstract:
Severe blunt injuries to isolated solid abdominal viscera have been previously managed nonoperatively; however, management algorithms for simultaneous visceral injuries are less well defined. We report a polytrauma case of a 33-year-old man involved in a motorbike collision who presented with left-sided chest and abdominal pain. Initial imaging demonstrated multiple solid organ injuries with American Association for the Surgery of Trauma (AAST) grade V splenic injury and complete devascularization of the left kidney. The patient underwent urgent angioembolic coiling of the distal splenic artery with successful nonoperative management of simultaneous grade V solid organ injuries.
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