Failure of spleen repair

Area of Science:

• Trauma surgery
• Surgical innovation

Background:

• Blunt abdominal trauma can cause splenic injuries.
• Surgical repair (splenorrhaphy) is an alternative to splenectomy for certain splenic injuries.

Observation:

• A 25-year-old male patient experienced a splenic laceration requiring splenorrhaphy.
• Delayed perisplenic hematoma formation necessitated re-exploration 5 weeks post-surgery.

Findings:

• Splenorrhaphy is a viable option for treating simple splenic pole injuries in adult patients.
• The case highlights a potential delayed complication of perisplenic hematoma after spleen repair.

Implications:

• This study supports spleen repair as a justifiable approach for specific adult splenic injuries.
• Emphasizes the importance of meticulous patient selection and vigilant follow-up protocols in managing patients undergoing splenorrhaphy.