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Case Report
 
Percutaneous drainage of delayed traumatic subcapsular hematoma of the spleen following splenic salvage: A case report
Alaa Sedik1, Mahmood Makhdoomi2, Abrar Hussein3, Salwa Elhoushy4, Ahmed Morsy5
1MBChB, MS, FRCS (Glasg), DMAS (Delhi), Consultant General Surgeon, King Khalid Hospital, Hail, Saudi Arabia
2Specialist General Surgeon, King Khalid Hospital, Hail, Surgery Department, Saudi Arabia
3General Surgery Resident, King Khalid Hospital, Hail, Saudi Arabia
4MBChB, MRCP (UK), Medical Specialist, King Khalid Hospital, Hail, Medical Department, Saudi Arabia
5Radiological Specialist, King Khalid Hospital, Hail, Saudi Arabiac

Article ID: Z01201710CR10837AS
doi:10.5348/ijcri-201798-CR-10837

Address correspondence to:
Alaa Sedik
King Khalid Hospital
Hail
Saudi Arabia

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How to cite this article
Sedik A, Makhdoomi M, Hussein A, Elhoushy S, Morsy A. Percutaneous drainage of delayed traumatic subcapsular hematoma of the spleen following splenic salvage: A case report. Int J Case Rep Images 2017;8(10):639–642.


ABSTRACT

Introduction: Percutaneous image-guided splenic procedures are seldom performed due to fear of complications, mainly hemorrhage. The reported cases in literature were due to atraumatic causes. These procedures obviate the need for splenectomy. Thus, preserving the spleen and decrease the pressure to avoid possible rupture.
Case Report: We report a 30-year-male with large delayed traumatic subcapsular splenic hematoma after splenic salvage that was managed successfully by percutaneous ultrasound-guided drainage.
Conclusion: In stable patients, image-guided percutaneous drainage appears to be another feasible option for large subcapsular traumatic splenic hematomas to prevent splenic rupture and obviate the need for splenectomy.

Keywords: Hematoma, Percutaneous drainage, Spleen



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Author Contributions
Alaa Sedik – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mahmood Makhdoomi – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Abrar Hussein – Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Salwa Elhoushy – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ahmed Morsy – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Alaa Sedik et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


ABOUT THE AUTHORS

Alaa Sedik, MBChB, MS, FRCS (Glasg), DMAS (Delhi), is Consultant General Surgeon, King Khalid Hospital, Hail, Saudi Arabia. His main interest is research work publishing many articles dealing with complex cases and to apply new techniques in the management. Dr. Sedik is the director of Saudi Board program in the hospital.

Mahmood Makhdoomi is Specialist General Surgeon, King Khalid Hospital, Hail, Surgery Department, Saudi Arabia.

Abrar Hussein is General Surgery Resident, King Khalid Hospital, Hail, Saudi Arabia. Her is very active resident in the Saudi Board program the hospital. Her main interest is surgical emergencies.

Salwa Elhoushy,MBChB, MRCP (UK), is Medical Specialist, King Khalid Hospital, Hail, Medical Department, Saudi Arabia. Dr. Salwa is interested in research work in endocrinology.

Ahmed Morsy is Radiological Specialist, King Khalid Hospital, Hail, Saudi Arabia. His main interest is role of ultrasonography in management of surgical emergencies.