BLUNT SPLENIC TRAUMA IN A 9-YEAR-OLD BOY WITH GLANZMANNS-THROMBASTHENIA

This is the first reported association of blunt splenic rupture and Gl anzmann's thrombasthenia in a 9-year-old boy. Splenic salvage procedur es are currently preferred in the treatment of traumatic splenic injur ies in children because of the high risk of overwhelming infection aft er splenectomy. Despite intensive conservative treatment, our patient remained hemodynamically unstable. We performed a total splenectomy du e to difficulty in achieving hemostasis. We believe it is necessary to choose appropriate treatment according to the pathophysiology of the bleeding tendency in children with splenic rupture.