J Trauma Inj.
2023 Dec;36(4):431-434. 10.20408/jti.2023.0017.
Successful nonoperative management of a simultaneous high-grade splenic injury and devascularized kidney in Australia: a case report
- Nguyen PTT
1 - Hsu JM1,2
- Affiliations
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- 1Trauma Service, Westmead Hospital, Sydney, Australia
- 2Westmead Clinical School, University of Sydney, Sydney, Australia
- KMID: 2550876
- DOI: http://doi.org/10.20408/jti.2023.0017
Abstract
- Severe blunt injuries to isolated solid abdominal viscera have been previously managed nonoperatively; however, management algorithms for simultaneous visceral injuries are less well defined. We report a polytrauma case of a 33-year-old man involved in a motorbike collision who presented with left-sided chest and abdominal pain. Initial imaging demonstrated multiple solid organ injuries with American Association for the Surgery of Trauma (AAST) grade V splenic injury and complete devascularization of the left kidney. The patient underwent urgent angioembolic coiling of the distal splenic artery with successful nonoperative management of simultaneous grade V solid organ injuries.
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