Successful Non-Operative Management of Grade III-IV Splenic Injury in a Young Adult Using Selective Arterial Embolization: A Case Report
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2025
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| author | Dogjani, Agron Haxhirexha, Kastriot Subashi, Kastriot Bulku, Besmir Dhima, Arben Rroji, Arben Bregaj, Elma |
| author_facet | Dogjani, Agron Haxhirexha, Kastriot Subashi, Kastriot Bulku, Besmir Dhima, Arben Rroji, Arben Bregaj, Elma |
| contents | <p><strong><em><span lang="EN-US">ABSTRACT</span></em></strong></p> <p><strong><em><span lang="EN-US">Introduction:</span></em></strong><span lang="EN-US"> The most frequent solid organ injury in blunt abdominal trauma (BAT) is splenic injury, and it is typically a result of road traffic accidents or falls. While operative management was the standard practice, the trend today is increasingly towards non-operative management (NOM), including in hemodynamically stable patients with even moderate-to-high-grade injuries [1,2]. This shift has been facilitated by advances in interventional radiology and imaging, which have played a pivotal role in expanding the indications for NOM and in keeping medical personnel familiarized and up to date [3].<br><em>Case presentation</em>: Here, we report a case of a 21-year-old male with Grade III+ splenic injury with moderate-to-large hemoperitoneum following a road traffic accident on a motorcycle. After initial resuscitation, the patient remained a transient responder. CT with IV contrast showed no indication of ongoing bleeding. With progressive hemoglobin decline in the background, the patient was successfully treated with selective splenic artery embolization at a private institution, reaffirming the intervention's efficacy. The patient recovered completely without any requirement for surgery and was discharged on the seventh day.<br><strong><em>Conclusion:</em></strong> Selective splenic embolization may be an effective and safe adjuvant to NOM in high-grade splenic injuries with transient responders, reducing the need for splenectomy and preserving immunologic function.<br><strong><em>Keywords:</em></strong> Blunt abdominal trauma; Splenic injury; non-operative management; Embolization; Interventional radiology</span></p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_18356046 |
| institution | Zenodo |
| language | eng |
| publishDate | 2025 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | Successful Non-Operative Management of Grade III-IV Splenic Injury in a Young Adult Using Selective Arterial Embolization: A Case Report Dogjani, Agron Haxhirexha, Kastriot Subashi, Kastriot Bulku, Besmir Dhima, Arben Rroji, Arben Bregaj, Elma Blunt abdominal trauma Splenic injury non-operative management Embolization, Therapeutic Radiology, Interventional <p><strong><em><span lang="EN-US">ABSTRACT</span></em></strong></p> <p><strong><em><span lang="EN-US">Introduction:</span></em></strong><span lang="EN-US"> The most frequent solid organ injury in blunt abdominal trauma (BAT) is splenic injury, and it is typically a result of road traffic accidents or falls. While operative management was the standard practice, the trend today is increasingly towards non-operative management (NOM), including in hemodynamically stable patients with even moderate-to-high-grade injuries [1,2]. This shift has been facilitated by advances in interventional radiology and imaging, which have played a pivotal role in expanding the indications for NOM and in keeping medical personnel familiarized and up to date [3].<br><em>Case presentation</em>: Here, we report a case of a 21-year-old male with Grade III+ splenic injury with moderate-to-large hemoperitoneum following a road traffic accident on a motorcycle. After initial resuscitation, the patient remained a transient responder. CT with IV contrast showed no indication of ongoing bleeding. With progressive hemoglobin decline in the background, the patient was successfully treated with selective splenic artery embolization at a private institution, reaffirming the intervention's efficacy. The patient recovered completely without any requirement for surgery and was discharged on the seventh day.<br><strong><em>Conclusion:</em></strong> Selective splenic embolization may be an effective and safe adjuvant to NOM in high-grade splenic injuries with transient responders, reducing the need for splenectomy and preserving immunologic function.<br><strong><em>Keywords:</em></strong> Blunt abdominal trauma; Splenic injury; non-operative management; Embolization; Interventional radiology</span></p> |
| title | Successful Non-Operative Management of Grade III-IV Splenic Injury in a Young Adult Using Selective Arterial Embolization: A Case Report |
| topic | Blunt abdominal trauma Splenic injury non-operative management Embolization, Therapeutic Radiology, Interventional |
| url | https://doi.org/10.5281/zenodo.18356046 |