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January 25, 2026Open Access

Successful Non-Operative Management of Grade III-IV Splenic Injury in a Young Adult Using Selective Arterial Embolization: A Case Report

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Authors

ADAgron DogjaniUniversity of Medicine TiranaHKHaxhirexha KastriotState University of TetovaKSKastriot Subashi

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Implication

Case report shows effective selective arterial embolization in managing splenic injury in a young adult, suggesting new treatment pathways.

Key Points

  • To demonstrate the successful non-operative management of a Grade III-IV splenic injury using selective arterial embolization.
  • Case report of a 21-year-old male with a Grade III+ splenic injury after a motorcycle accident.
  • Initial resuscitation followed by imaging to assess bleeding status.
  • Selective splenic artery embolization performed due to progressive hemoglobin drop.
  • Patient recovered completely without the need for surgery.
  • Discharged on the seventh day post-intervention.
  • Efficacy of selective embolization reaffirmed in managing high-grade splenic injuries.

Cite This Study

Dogjani et al. (2025) studied this question.

synapsesocial.com/papers/6975b350feba4585c2d6ecc8https://doi.org/10.5281/zenodo.18356045
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Management of blunt splenic trauma: a 10-year single-center retrospective cohort study and systematic review2026
  2. 2Clinical analysis on comparison of outcomes between partial splenic artery embolization and splenectomy for management of grade II–III splenic injury in blunt trauma2025 · 2 citations
  3. 3New horizons in splenic traumatism management: literature review2024
  4. 4Non-operative management of low-grade (grade I–II) splenic injury in hemodynamically stable adults2026
  5. 5Pre- and post-implementation protocol for non-operative management of grade III-V splenic injuries: An observational study2024