Emergency laparoscopic partial splenectomy for ruptured spleen:A case report

Splenic rupture is a common consequence of blunt abdominal trauma.Emergency splenectomy is indicated when conservative management is not effective.With better understanding of the immunologic function of the spleen,surgeons have begun to perform the splenic-preserving surgery.However,it is technical challenge to perform emergency laparoscopic partial splenectomy for patient with spleen rupture.A 15-year-old male patient suffered from gradeⅢspleen injury basing on the American association for the surgery of trauma splenic injury scale.Conservative treatment failed to success basing on the dramatically decreased hemoglobin level.During the laparoscopic exploration,we found that two individual ruptures were associated with the upper pole of spleen.An emergency laparoscopic partial splenectomy was successfully carried out.The operative time was approximate 150 min and the estimated blood loss was 200 m L.The post-operative course was uneventful and the patient was discharged on the 7th post-operative day.