Managing Massive Splenic Hematoma: Exploratory Laparotomy or Active Surveillance?
Splenic hematoma is a known complication of blunt force abdominal trauma. Traditional management of splenic hematomas has been primarily surgical. However, more recently, spleen-sparing management has been favored over surgical management for cases that meet certain criteria, with surgery now reserved for patients with complications. In this report, we present a case of a massive splenic hematoma that was managed conservatively and analyze the challenges faced in clinical decision making.
['Otieno|Steve B|SB|', 'Wellikoff|Saradasri K|SK|', 'Weir|Alva|A|', 'Ogbeide|Osarenren|O|']
splenic hematoma abdominal trauma non-operative management