# Partial Splenectomy and Splenic Wrapping for a High-Grade Splenic Injury: A Case Report

## TL;DR

This case report describes a successful partial splenectomy and splenic wrapping in a young man with severe spleen injury, avoiding total removal and its risks.

## Contribution

The report highlights a successful alternative to total splenectomy using partial removal and splenic wrapping for high-grade injury.

## Key findings

- A 20-year-old male with grade IV splenic injury underwent partial splenectomy and splenic wrapping.
- The patient avoided total splenectomy and had an uncomplicated recovery with no postoperative complications.
- Absorbable mesh wrapping helped control bleeding and preserve splenic function.

## Abstract

The spleen is one of the most commonly injured organs in blunt abdominal trauma, accounting for a vast portion of solid organ injuries, and may lead to rapid haemodynamic instability, requiring urgent operative intervention. Total splenectomies result in relative immunocompromise, with a risk of overwhelming post-splenectomy infection (OPSI) post splenectomy. This case reports the surgical management of a 20-year-old male with a grade IV splenic laceration after a motor vehicle accident. The patient underwent a trauma laparotomy with a partial splenectomy because of early take-off of the upper-lobar branch of his splenic artery, with an absorbable mesh wrap to tamponade the spleen. The patient avoided the need for a total splenectomy and was discharged after six days in the hospital with an uncomplicated recovery.