Please enable JavaScript.
Coggle requires JavaScript to display documents.
Splenic rupture (Diagnosis (Grading (Grade 3
Large capsular laceration…
Splenic rupture
Diagnosis
Examination
Abdo exam
LUQ tenderness, peritonism,
flank bruising
Investigations
Bloods
G+S/crossmatch, FBC, CRP, U+E,
LFTs, clotting, glucose
-
-
History
DH
Meds (anticoag), allergies
SH
Living arrangements, occupation,
smoking, alcohol
-
-
Grading
Grade 3
Large capsular laceration (>3cm)
Large subcapsular haematoma (>50% SA)
Ruptured subcapsular/parenchymal haematoma
-
-
-
-
-
Management
-
Definitive
Conservative
Information, advice, support
Supportive care (grade 1/2)
Surgical
-
Emergency laparotomy
Indication: haemodynamic instability,
continuous bleeding
MOA: splenic repair or removal
Pathophysiology
-
Mechanism
Spleen is delicate organ with minimal
visceral coating, easily ruptured
Substantial blood loss and shock
Definition
Rupture of the spleen following
traumatic insult, usually blunt
abdominal injury
-