An Overview on Management of Blunt Splenic Injury

Abstract

Background: Blunt splenic injury is one of the most common consequences of abdominal trauma, particularly following road traffic collisions, falls from height, and direct blows to the left upper quadrant. The spleen’s friable parenchyma and rich vascular supply make it highly vulnerable to laceration and hemorrhage. In recent decades, advances in imaging, hemodynamic monitoring, and interventional radiology have led to a major shift from routine operative management to selective non-operative strategies. Early recognition, rapid risk stratification, and appropriate therapeutic decisions are critical to reducing morbidity and mortality. Despite significant progress, the optimal management approach continues to depend on patient stability, injury grade, and associated trauma, requiring coordinated multidisciplinary care.