A 27 year old patient presented with left sided abdominal pain to the emergency room; 6 hours after an A. He is hemodynamically stable and FAST positive. A CECT (contrast enhanced CT) scan shows a contrast blush along with a grade III laceration. What will be the most appropriate management.
The presence of blush on the CT scan is indicative of potential ongoing bleeding & increased likelihood of need for operative intervention. The presence of blush has also been used as a trigger for angiographc embolisation in hemodynamically stable patients to prevent ongoing or recurrent bleeding. Reference: Greenfield&;s Surgery- Scientific Principles and Practices, 5th edition, page no: 392.
Splenectomy
Spenorrhaphy
Splenic aery embolization
Conservative management
Trauma