Computed tomography imaging and observation of hemorrhage in traumatic splenic rupture pre and post partial splenectomy

BACKGROUND: Radiological analysis of splenic images was conducted to evaluate postoperative hemorrhage following partial splenectomy in 50 patients. Computed tomography (CT) was used as the primary imaging method for postoperative assessment. The study included 41 males and nine females aged 16-79 years (mean age 52) treated between December 2019 and July 2023. METHODS: Clinical management focused on identifying preoperative bleeding risks, monitoring blood pressure, managing anticoagulant therapy, and early detection of postoperative hemorrhage. Patient care also included vital-sign monitoring, psychological support, predictive medical strategies, and the use of modern communication tools for patient education. Patients who developed hemorrhage were treated with either exploratory laparotomy or conservative management based on their clinical condition. RESULTS: The average hospital stay was 12.5 days (range 5-18 days). CT imaging revealed hemorrhagic splenic lesions before and after treatment. Statistical analysis showed a strong correlation (r=0.94) between CT findings and treatment outcomes, confirming the high diagnostic value of CT in detecting splenic hemorrhage and guiding clinical management. CONCLUSIONS: Comprehensive perioperative management combined with predictive medical strategies can reduce recurrence of postoperative complications and improve surgical workflow for traumatic splenic injury.