DOI: https://doi.org/10.36347/sasjs.2026.v12i05.001

Pages: 341-344

Background: The spleen plays a central role in immune defense and blood filtration. Emergency splenectomy remains a life-saving procedure in cases of splenic trauma with hemodynamic instability. The widespread adoption of non-operative management (NOM) and splenic artery embolization has significantly refined its indications. This study aims to define the current indications for emergency splenectomy and evaluate its outcomes. Methods: A retrospective study was conducted at the Department of Visceral and Digestive Surgery, Mohammed VI University Hospital, over a seven-year period (2018–2025). All patients presenting with splenic trauma managed on an emergency basis were included. Demographic characteristics, clinical and radiological data, therapeutic modalities, morbidity, and mortality were analyzed. Results: A total of 83 patients were included. The mean age was 35 years, with a male predominance. Non-operative management was the primary strategy (96.4%), while total splenectomy was performed in only 3.6% of cases. Splenic artery embolization was employed in 1.2% of patients. Complications included hemorrhage (55%) and infectious events (45%). The post-splenectomy sepsis rate was 5%. No mortality was recorded. Conclusion: Emergency splenectomy retains a critical role in the management of splenic trauma, but its indications are increasingly restricted in favor of conservative strategies. An individualized approach guided by hemodynamic status and available resources is essential to optimize patient outcomes.