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BMJ Case Rep. 2010; 2010: bcr0120102601.
Published online 2010 August 10. doi:  10.1136/bcr.01.2010.2601
PMCID: PMC3027402
Novel treatment (new drug/intervention; established drug/procedure in new situation)

Open partial splenectomy for trauma using GIA-Stapler and FloSeal matrix haemostatic agent


A ruptured spleen caused by blunt abdominal injury is often treated by splenectomy. In view of the gravity of the ‘postsplenectomy syndrome,’ a conservative approach has been increasingly used. We present the case of a 29-year-old man with a Grade III splenic lesion for a blunt abdominal trauma after a car accident. We performed a partial splenectomy of the upper pole using GIA-Stapler. A supplemental haemostasis of the stapled line was successfully achieved by the application of FloSeal matrix haemostatic agent. The splenic remnant was fixed into the left-upper quadrant using human fibrin glue.

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