Abstract
Although gauze packing and planned reoperation has been documented for the treatment of liver trauma, it has not been described for the management of the ruptured spleen. We document a single case of a grade I splenic injury, which occurred during an emergency subtotal colectomy for a massive lower gastrointestinal bleed. The options of suturing and packing with absorbable mesh failed in the presence of a severe coagulopathy and it became necessary to perform perisplenic packing with large gauze swabs with planned reoperation resulting in a favourable outcome and splenic conservation.
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