Double Jeopardy: A Case of Non Operative Management of Simultaneous High-grade Splenic Injury with High-grade Renal Injury
High-velocity blunt trauma to the abdomen can result in multiple solid organ injuries, leading to catastrophic bleeding and mortality. Non Operative Management (NOM) of isolated solid organ injury is well established. NOM ranges from observation and monitoring to angioembolisation, with the aim of p...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/20777/77352_CE[Ra1]_F(SHU)_QC_(PS_OM)_PF1(RI_SS)_PFA(IS)_PN(IS).pdf |
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| Summary: | High-velocity blunt trauma to the abdomen can result in multiple solid organ injuries, leading to catastrophic bleeding and mortality. Non Operative Management (NOM) of isolated solid organ injury is well established. NOM ranges from observation and monitoring to angioembolisation, with the aim of preserving the organ and its function. NOM for splenic trauma is considered the first line of management in haemodynamically stable patients. NOM for high-grade renal injury is controversial. NOM for simultaneous multi-organ injuries is challenging and the possible advantages of this treatment pathway are still debated. In the present case report (54-year-old female patient), the patient presented with blunt abdominal trauma and imaging revealed a Grade IV splenic injury along with a Grade V renal injury. As the patient remained haemodynamically stable and imaging did not show any active bleeding, NOM was adopted with intensive monitoring and multiple blood transfusions. |
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| ISSN: | 2249-782X 0973-709X |