INTRODUCTION: @entity4558 ( @entity4558 ), during Nonoperative Management (NOM) of Blunt @entity130 (BSI), is an effective therapy for hemodynamically stable @entity1 with grade III, IV, and V OIS @entity130 . We report a case of a @entity1 with a blunt @entity1661 due to an accidental fall, who presented @entity733 a week after @entity4558 and a review of the literature. CASE REPORT: A 38-year-old male arrived at Emergency after an accidental fall with contusion of the left upper quadrant of the abdomen. Abdominal CT scan revealed the @entity174 of the lower splenic pole with @entity2849 ( @entity130 scale IV). Considering the hemodynamic stability, NOM was undertaken and @entity4558 was performed. After a week, the @entity1 developed a @entity733 confirmed by Abdominal CT; therefore, splenectomy was performed. There was no evidence of bacterial growing in the perisplenic @entity1410 cultures but the histological examination showed multiple abscess and @entity548 areas in the spleen. DISCUSSION: @entity733 after @entity4558 during NOM of BSI is a rare major complication. The most frequently cultured organisms include @entity3168 , Alpha-Hemoliticus Streptococcus, gram-positive Staphylococcus, gram-negative Salmonella, Candida, and Aspergillus. This case represents our first reported @entity733 after @entity4558 . CONCLUSION: @entity4558 is a very useful tool for BSI managing; @entity733 can occur in a short time, even if it is a rare major complication, so it may be useful to monitor @entity1 undergoing @entity4558 , focusing not only on the hemodynamic parameters but also on the inflammatory and infectious aspects.

XXXX after splenic blunt injury angioembolization.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhagic'] @entity1661 :: ('MESH:D000008', 'Disease') :: ['abdominal trauma'] @entity4558 :: ('MESH:D013158', 'Disease') :: ['Splenic Angioembolization', 'SAE'] @entity3168 :: ('1502', 'Species') :: ['Clostridium perfringens'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity733 :: ('MESH:D000038', 'Disease') :: ['splenic abscess', 'Splenic abscess'] @entity2849 :: ('MESH:D017541', 'Disease') :: ['intraparenchymal pseudoaneurysms'] @entity130 :: ('MESH:D014947', 'Disease') :: ['OIS spleen injury', 'Splenic Injury', 'splenic injuries']
@entity733 :: (MESH:D000038,Disease) :: ['Splenic abscess']
