Splenic Rupture

Question 1

What is normally the mechanism behind splenic rupture?

Answer 1

• Blunt trauma
  
  • Deceleration injury
  • Direct blows to the abdomen

Question 2

What are the management principles for splenic rupture?

Answer 2

• Haemodynamically stable - conservative therapy, angioembolisation
• Haemodynamically unstable - exploratory laparotomy for repair/staging/resection