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European Journal of Pediatrics

, Volume 172, Issue 9, pp 1187–1190 | Cite as

Comparison of two treatment eras and sonographic long-term outcome of blunt splenic injuries in children

  • Georg SingerEmail author
  • Stefan Rieder
  • Robert Eberl
  • Helmut Wegmann
  • Michael E Hoellwarth
Original Article

Abstract

The treatment of blunt splenic injuries (BSI) has undergone a significant shift away from an operative approach to a conservative treatment regimen in the last decades. Data concerning long-term follow-up of children sustaining BSI are largely confined to telephone surveys. Children treated with BSI over a 33-year period were analyzed. In order to describe the changing treatment, patients were divided into two groups: group I included children treated between 1977 and 1999; group II children treated between 2000 and 2009. Additionally, patients treated nonoperatively between 2000 and 2009 were invited for a sonographic follow-up examination. In group I 81 patients and in group II 89 patients were treated. An increase of male patients from 69 to 88 % was observed, comparing the two eras. While children treated in the earlier period were 8.8-years-old mean (range 1 to 15), the patients treated between 2000 and 2009 were older (mean 10.4 years, range 1 to 17). Between 1977 and 1999, 79 % of the patients were treated nonoperatively. This rate considerably increased to 94 % in the second era. Follow-up examination was performed with a mean age of 6 years (range 1 to 11 years) post-injury. In 79 % of the cases, the spleen healed without sonographic long-term sequelae. In the remaining 21 % of the patients, a scar formation could be demonstrated.

Conclusion

We were able to confirm that the majority of children sustaining BSI can be safely treated conservatively.

Keywords

Abdominal trauma Ultrasound Splenic trauma Children 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Georg Singer
    • 1
    Email author
  • Stefan Rieder
    • 1
  • Robert Eberl
    • 1
  • Helmut Wegmann
    • 1
  • Michael E Hoellwarth
    • 1
  1. 1.Department of Pediatric and Adolescent SurgeryMedical University of GrazGrazAustria

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