DOI: 10.36347/sjmcr.2023.v11i09.019

Pages: 1651-1656

The conservative treatment of the spleen represents a major advance in the management of splenic trauma because it helps preserve the immune functions of the spleen and avoid complications of unnecessary laparotomy. In our study, we report the cases of patients whose average age is 30 years, who have consulted the medical and surgical emergency department following a public road accident for the management of a polytrauma resulting in chest-abdominal-pelvic injury. Etiologies were dominated by road accidents, followed by falls, and then assaults. The poly traumatic context was the most common. Two patients were hemodynamically unstable. Computed tomography was performed in all patients and showed splenic parenchymal destruction, classified grade V of the AAST classification. Fluid intraperitoneal effusion of great abundance, associated with a hemooperitone in splenic peri. Nonoperative treatment was adopted. Developments were favorable.