WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Dr. Kawa Mohammed Mawlood Bajalan, Dr. Botan Abdulwahid Ahmad and Dr. Mohammed Niyazi Gheni

ABSTRACT

Background: Splenic injuries, particularly blunt ones, can cause significant tears in the spleen, with abdominal tenderness and distention in 50% of patients and hypotension in 25-30%. Older, less healthy patients may develop hemodynamic instability. Stable patients often experience left upper abdominal or flank pain. Patients and Methods: A retrospective study in Erbil city analyzed 60 patients from Rizgary, Erbil General, and Baghdad Teaching hospitals between January 2007 and January 2009. The study focused on Splenic Trauma evaluation and treatment options for male and female patients. Results: A study involving patients aged between one and sixty years found that splenic trauma is more common in males, with a male-to-female ratio of 2:1. Blunt abdominal trauma was common in road traffic accidents, falls from height, assaults, and other injuries. The majority of patients (58.3%) had blunt abdominal trauma, while 25.6% sustained penetrating injuries. Diagnosis of splenic injury was done through exploratory laparotomy, U/S scan, and CT scan. Associated injuries were common, with liver being the most common. Non-operative management was only used in 20% of cases, with 80% being treated operatively. Splenectomy was the most commonly performed procedure, with 44/60 patients (73.3%) having blunt abdominal trauma (71.4%) and 76% of those having penetrating injuries (76%). Conclusion: Splenic injuries are prevalent in Erbil governorate, with limited diagnostic modalities and 80% of splenectomy performed. Experience in conservative management and preserving procedures is limited, and laparoscopic surgery is not available.