BACKGROUND Trauma being the most underrated killer of the young needs more careful management. Spleen is the most common intraabdominal injured organ in blunt trauma cases. An adequate clinical analysis, assessment of the patients, diagnosis and treatment with high suspicion of any concealed injury within the abdomen is a must. My study comprises a comprehensive study of cases with splenic injury, mechanism of injury, clinical presentation, grading the injury and accordingly the most appropriate management.
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