Successful nonoperative management of a simultaneous high-grade splenic injury and devascularized kidney in Australia: a case report.
| Autor: | Nguyen PTT; Trauma Service, Westmead Hospital, Sydney, Australia., Hsu JM; Trauma Service, Westmead Hospital, Sydney, Australia.; Westmead Clinical School, University of Sydney, Sydney, Australia. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of trauma and injury [J Trauma Inj] 2023 Dec; Vol. 36 (4), pp. 431-434. Date of Electronic Publication: 2023 Sep 07. |
| DOI: | 10.20408/jti.2023.0017 |
| Abstrakt: | 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. Competing Interests: Conflicts of interest Jeremy M. Hsu is an Editorial Board member of the Journal of Trauma and Injury, but was not involved in the peer reviewer selection, evaluation, or decision process of this article. The authors have no other conflicts of interest to declare. (© 2023 The Korean Society of Traumatology.) |
| Databáze: | MEDLINE |
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