management
 
   

The patient should be resuscitated with fluids.

A laparotomy is required:

  • usually a splenectomy is indicated
  • in a child as much as possible of the spleen is retained so as to maintain resistance to encapsulated bacteria e.g. pneumococcus and meningococcus
  • slices of the spleen may be implanted in the greater omentum in an attempt to retain function

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