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.
Splenectomy
Spenorrhaphy
Splenic aery embolization
Conservative 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.
Trauma