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>Journals >Cirujano General >Year 2000, Issue 4


Acuña PR, Messa VR
Diagnostic laparoscopy for grade II splenic trauma. Report on one patient.
Cir Gen 2000; 22 (4)

Language: Español
References: 25
Page: 367-370
PDF: 4. Kb.


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ABSTRACT

Objective: To describe the case of a patient with a grade II splenic lesion diagnosed through laparoscopy, avoiding a non-therapeutic laparotomy.
Setting: Second level health care general hospital.
Case description: A 27 years old man, with bruised abdominal lesions. He had been attacked 16 hours before being admitted to the hospital. He had been hit brutally in the abdomen, hemodinamically stable, pale, without cardiopulmonary alterations, slightly distended abdomen, with generalized muscular resistance, lack of peristalsis, and peritoneal irritation data. Hemoglobin of 8.6 g/dl, thoracic X ray normal, simple abdominal X rays revealed segmentary ileum. Ultrasound revealed free liquid in the abdominal cavity. Diagnostic laparotomy revealed a hemoperitoneum of 1200 ml, grade II splenic lesion, star-shaped, a bruised zone at the visceral side and a subcapsular hematoma, without active hemorrhage. Conservative treatment was applied, leaving drainage. The patient evolved adequately, without needing blood transfusion during the postoperative period. He was left at the hospital for 7 days under absolute rest conditions.
Conclusion: Laparoscopy is useful to study abdominal trauma.


Key words: Laparoscopy, trauma, spleen.


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>Journals >Cirujano General >Year 2000, Issue 4
 

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