[Spleen-preserving surgery after blunt abdominal trauma with splenic hilum involvement]. / Cirugía preservadora de órgano tras traumatismo esplénico cerrado con implicación hiliar.

BACKGROUND: Splenic involvement secondary to blunt abdominal trauma is often treated by performing a splenectomy. The severity of the post-splenectomy syndrome is currently well known (blood loss, sepsis), so there is an increasing tendency to preserve the spleen. The case is presented of splenic preservation after blunt abdominal trauma with hilum involvement, emphasising the role of Floseal as a haemostatic agent, as well as the use of resorbable meshes to preserve the spleen. CLINICAL CASE: A 22-year-old woman presenting with a grade IV splenic lesion secondary to a blunt abdominal trauma after a traffic accident. Partial splenic resection was performed and bleeding was controlled with Floseal and use of a reinforcing polyglycolic acid mesh. No postoperative complications occurred, being discharged on day 5. The long-term follow-up has been uneventful. CONCLUSION: The use of haemostatic agents such as thrombin and the gelatine gel (FloSeal) and the use of polyglycolic acid meshes enable spleen-preserving surgery, making it a feasible and reproducible procedure and an alternative to classical splenectomy.

Traumatismo cerrado de colon con lesión sigmoidea / Blunt trauma of colon with sigmoid injury

Se trataba de una paciente de 71 años de edad y aparente buen estado de salud anterior, quien sufrió un traumatismo abdominal cerrado a causa de un accidente doméstico (caída de sus pies), que lesionó el sigmoide y trastornó el paso de asas intestinales delgadas a través de él, de modo que estas se exteriorizaron por el ano. Fue intervenida con urgencia para reintroducirle las asas por el mismo trayecto de salida y suturar la lesión colónica. La paciente evolucionó favorablemente, comprobado en varias consultas posoperatorias.

This is a 71 year-old patient with apparent previous good health state who suffered a blunt abdominal trauma due to a domestic accident (fall on her feet) which injured the sigmoid and it resulted in the passing of thin intestinal loops through it, so that these came out through the anus. She had a surgical emergency for reintroducing her loops through the same place and for suturing the colonic injury. The patient had a favorable clinical course and this was checked in several postoperative outpatient visits.

Traumatismo cerrado de colon con lesión sigmoidea / Blunt trauma of colon with sigmoid injury

Se trataba de una paciente de 71 años de edad y aparente buen estado de salud anterior, quien sufrió un traumatismo abdominal cerrado a causa de un accidente doméstico (caída de sus pies), que lesionó el sigmoide y trastornó el paso de asas intestinales delgadas a través de él, de modo que estas se exteriorizaron por el ano. Fue intervenida con urgencia para reintroducirle las asas por el mismo trayecto de salida y suturar la lesión colónica. La paciente evolucionó favorablemente, comprobado en varias consultas posoperatorias(AU)

This is a 71 year-old patient with apparent previous good health state who suffered a blunt abdominal trauma due to a domestic accident (fall on her feet) which injured the sigmoid and it resulted in the passing of thin intestinal loops through it, so that these came out through the anus. She had a surgical emergency for reintroducing her loops through the same place and for suturing the colonic injury. The patient had a favorable clinical course and this was checked in several postoperative outpatient visits(AU)