RT Book, Section A1 Williams, Brian H. A1 Minei, Joseph P. A2 Moore, Ernest E. A2 Feliciano, David V. A2 Mattox, Kenneth L. SR Print(0) ID 1147417299 T1 Spleen T2 Trauma, 8e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071847292 LK accesssurgery.mhmedical.com/content.aspx?aid=1147417299 RD 2024/04/19 AB Splenic injuries demonstrate themselves clinically more often than do hepatic injuries, making it the most commonly injured solid viscus requiring laparotomy. During the past 50 years, there has been increasing interest in the notion that not all splenic injuries require splenectomy. Nonoperative management (NOM) with close observation is safe in appropriately identified patients. There is also increasing evidence supporting the safety of selective angioembolization; however, optimal patient selection is still debated. Although evolution has steadily moved us away from routine aggressive operative management, it is important to always keep in mind that patients with splenic injury can bleed to death.