ABSTRACT
Over 4-y 1177 c.s period 114 children [1-14] years of age with documented splenic injury after Blunt Abdominal Trauma [BAT] were retrospectively reviewed. The study group was divided into 2 main categories; Category-l, included 62 patients [54.4%] with isolated splenic injury [ISI]. Category-2, included 52 patients [45.6%] with associated injuries [AI]. This category was subdivided into 3 groups: Group-1 included 16 patients [14%] with associated intra-abdominal injury [AIAI].Group-2 included 26 patients [22.8%] with associated extra-abdominal injury [AEAI]. Group-3 included 10 patients [8.8%] with associated intra-extra-abdominal injuries [AIEAI]. All patients were managed and investigated, the effect of associated injuries on the modality of non- operative management [NOM] was discussed. The results of the study showed that in AI cases 34.6% were transfused with blood a mean of 2.6 U, while only 12.9% of cases of ISI were transfused with a mean of 2 U. NOM was adopted in 90.3% of ISI cases with success rate of 96.4%, while it was adopted in 80.7% of AI cases with success rate of 90.5%, the least success rate was recorded in AIEAI cases 83.3% of 60% adopted cases, in 40% of cases of this group immediate operative management was indicated