Pediatrics in Review
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(Pediatrics in Review. 1980;1:203-206.)
© 1980 American Academy of Pediatrics
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Splenic Trauma

Sara H. Sinal MD1
 1 The Department of Pediatrics, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina

Modern technology, specifically the splenic scan, aids in a quick and accurate diagnosis of splenic injury. Because children rarely exsanguinate from trauma to the spleen, splenectomy has been replaced by more conservative management as the treatment of choice in splenic trauma. Both nonoperative management and surgical repair of the spleen are alternatives. If splenectomy is necessary, the child is at greatly increased life time risk for an episode of overwhelming sepsis. Pneumococcal vaccine is indicated in children who must undergo splenectomy.






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Pediatrics Pediatrics in Review
Copyright © 1980 by the American Academy of Pediatrics.