Observation, angiographic embolization, or surgery depending upon:
Hemodynamic status of the patient
Grade of<unk>  injury
Presence of other injuries and medical comorbidities
Operative Management
Indicated for diffuse peritonitis or hemodynamic instability after blunt abdominal trauma
Not indicated based on injury grade alone
Nonoperative management
Failure rate of 10-15%
Some advocate nonoperative management only if <55yr and CT injury grade less than IV
Should only be considered in locations with resources available for urgent laparotomy
Hemodynamic status of the patient
Grade of<unk>  injury
Presence of other injuries and medical comorbidities
Indicated for diffuse peritonitis or hemodynamic instability after blunt abdominal trauma
Not indicated based on injury grade alone
Failure rate of 10-15%
Some advocate nonoperative management only if <55yr and CT injury grade less than IV
Should only be considered in locations with resources available for urgent laparotomy
Splenic trauma
Diaphragmatic trauma
Splenic infarction
Liver trauma
Abdominal trauma
Intestinal ischemia
Pelvic fractures
Acetabular pelvic fractures