Splenic conservation avoids the overwhelming postsplenectomy infection. The
high percentage of patients treated by noninvasive procedures would be due
to the simple clinical course of splenic trauma and precision of diagnosis
, using CT scan. Only clinical evaluation could provide further information
on the indications for surgical treatment, as there is no available score
regarding the value of CT scan for choosing the therapeutical option. Non-o
perative management of splenic ruptures should be considered in selected pa
tients in whom hemodynamics is stable and closely monitored. (C) 2000 Editi
ons medicales et scientifiques Elsevier SAS.