c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Splenectomy for Grade IV Injury: 1

A D V E R T I S E M E N T

   
 

A 68-year-old man fell a distance of 4 feet, landing on his left side. He presented to the emergency room with a blood pressure of 70/40, conscious and in moderate discomfort. Blood was sent for type and cross for 4 units. His blood pressure returned to normal with crystalloid resuscitation and he underwent CT scan while his pressure was stable. The CT scan shows a grade IV (see splenic injury discussion) splenic injury.     

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Splenectomy for Grade IV Injury: 2

A D V E R T I S E M E N T

   
 

The fracture extended into the hilum and the spleen was fragmented into multiple pieces. There was a large subcapsular hematoma as well as significant free fluid in the abdomen. There was also a fracture of the left 7th rib with a small pneumothorax.      

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Splenectomy for Grade IV Injury: 3

A D V E R T I S E M E N T

   
 

The patient was taken immediately to the operating room where a Foley catheter and arterial line were placed.       

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This page was last modified on 11/7/2003.