MSFinals-6604

MSFinals-6604

A 48-year-old man is brought to the emergency department by ambulance with multiple stab wounds. During clinical examination, eight stab wounds are identified on his abdomen and one on the front of his chest. His airway has been secured, and he is receiving oxygen at a rate of 15 L/min while IV fluid resuscitation has been initiated.

Following CT scans of his abdomen, the patient has been transferred to the operating room for an emergency laparotomy. The surgeons are assessing the condition of his spleen based on the CT and laparotomy findings to determine the next steps in his treatment.

What is one reason that may indicate the need for a splenectomy in this patient?