Failure of Nonoperative Management following Angioembolization for Blunt Splenic and Pancreatic Tail Injury.

Although NOM is becoming one of the choices for severe BSI, there will still be a patient who requires surgery. Surgeons should be aware of the mechanism of injury and the limitation of AE as an adjunct to NOM. Patient selection for initial NOM and timing to convert to laparotomy are important.