How is splenic infarct with blunt injuries treated?

Updated: Jul 27, 2020
  • Author: Manish Parikh, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

The authors have treated one case of global splenic infarction in a person with multiple blunt injuries who required hepatic packing as part of a damage-control procedure. At initial exploration, the spleen was intact, perfused, and viable. The patient subsequently required reoperation for release of an intra-abdominal compartment syndrome. Follow-up CT after the second operation revealed global splenic infarction, attributed to an occlusion of splenic venous outflow due to severe intra-abdominal hypertension and the resultant impedance of venous return from the visceral circulation.


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