ABSTRACT
Controversies regarding management of splenic injuries aboud in the literatures. Every aspect of the trauma to this organ including the grading of the severity of injury, reliable diagnostic methods and the optimal management [Operative and non-operative] have been the subject of conflicting views. Observation without operation for the treatment of isolated blunt splenic trauma in children has been sucessful at one center and the results are duplicated at other centers. Application of the same priciples to adults has led to mixed results. While there is universal agreement that splenic preservation should be attempted in adults, the methods of achieving this goal, either by operative or non-operative means, remain unclear. We have reviewed our experience with the management of adults sustaining blunt splenic trauma in an attempt to determine the optimal method of management