Non-operative management of the ruptured spleen

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.