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Abstract
During the 12 year period, July 1980 to June 1992, 17 patients with blunt splenic trauma, aged 3.5 to 13.2 years (median 7.5), were treated. Ultrasound scanning was found to be valuable for diagnosis as well as follow-up of the healing of splenic injury. Eleven patients were observed on bed-rest without surgical intervention. The remaining six patients underwent exploratory laparotomy for suspected continuing intra-abdominal haemorrhage or because associated injuries rendered assessment of the possibility of intra-abdominal bleeding unreliable. In each case the spleen was conserved. There was no mortality or late complication.