Nonoperative management of blunt splenic injury: what is new?

Eur J Trauma Emerg Surg. 2015 Jun;41(3):219-28. doi: 10.1007/s00068-015-0520-1. Epub 2015 Apr 15.


The majority of splenic injuries are currently managed nonoperatively. The primary indication for operative management of blunt splenic injury is hemodynamic instability. Findings which correlate with failure of nonoperative management include grade IV or V splenic injury, high Injury Severity Scores, or active extravasation. The role of angiograph/embolization is becoming better defined, appropriate in the patient with pseudoaneurysm or active extravasation or the stable patient with grade IV or V splenic injury.

Publication types

  • Review

MeSH terms

  • Abdominal Injuries / diagnostic imaging
  • Abdominal Injuries / therapy*
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / therapy*
  • Angiography*
  • Embolization, Therapeutic* / methods
  • Hemoperitoneum / etiology
  • Humans
  • Injury Severity Score
  • Practice Guidelines as Topic
  • Spleen / diagnostic imaging
  • Spleen / injuries*
  • Splenic Artery / diagnostic imaging
  • Splenic Artery / injuries
  • Tomography, X-Ray Computed
  • Wounds, Nonpenetrating / diagnostic imaging
  • Wounds, Nonpenetrating / therapy*