Size of Splenic Subcapsular Hematoma Is Associated With Varying Outcomes of Nonoperative Management-Reference-Cited by-同舟云学术

Size of Splenic Subcapsular Hematoma Is Associated With Varying Outcomes of Nonoperative Management

Published:2024-03-29 Issue:8 Volume:90 Page:2070-2072
ISSN:0003-1348
Container-title:The American Surgeon™
language:en
Short-container-title:The American Surgeon™

Author:

Dhillon Navpreet K.¹,Harfouche Melike N.¹^ORCID,DuBose Joseph J.²,Kozar Rosemary A.¹,Scalea Thomas M.¹

Affiliation:

1. Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA

2. Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas, Austin, TX, USA

Abstract

The presence of a splenic subcapsular hematoma (SCH) has been associated with higher rates of failure of nonoperative management (FNOM) in patients with blunt splenic injury (BSI), with rates up to 80%. We hypothesized that contemporary rates are lower. A retrospective review was conducted of patients admitted with BSI to a level I trauma center (2016-2021). Patients with SCH who had FNOM were compared to those who did not. There were 661 BSI patients, of which 102 (15.4%) had SCH. Among the SCH patients, 8 (7.8%) had FNOM. Failure of nonoperative management was higher in patients who had a SCH measuring 15 mm or greater. To the best of our knowledge, this is the largest study to date examining the relationship between SCH and FNOM. The presence of a SCH alone is not associated with a high risk for FNOM contrary to previous literature. However, SCH thickness was larger in those who failed.

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/00031348241241734

Reference4 articles.

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4. Subcapsular hematoma in blunt splenic injury