Background: Spleen injuries are most commonly associated with blunt abdominal trauma and represent a potentially life-threatening condition. Objectives: To study the pattern of splenic injuries of the patient, management instituted and its outcome at Khartoum. Patients and Methods: This is a prospective, analytic and hospital-based multicenteric study, conducted at the three main Teaching hospitals at Khartoum. The study was carried over a period from April 2012 to February 2013. It includes all patients, diagnosed as traumatic splenic injury. Excluded were patients with history of splenic disease, iatrogenic injury or spontaneous rupture. Results: The study included 47 patients: their mean age was 26.4 years (SD ± 14.5). Most of them 41 (87.2%) were in the first four decades of life. Males were predominant 41 (87.2%), with a male to female ratio of 6.8:1. The majority of our patients had blunt abdominal trauma 39 (83%), of whom, road traffic accident accounted for 51.1% and none reported cases of gunshot. Isolated splenic injury was found in 23 (48.9%), and Haemodynamic stability was seen in 27 (57.4%) on presentation. The initial haemoglobin assessment revealed <9 gram/dl in 53.2%. CT scan was performed to 24 (51.1%), of whom 66 patients were Grade I and II and none of our patients were diagnosed as Grade V. Blood transfusion was required in 42 (89.4%). Operative treatment was adopted in 66% (61.7% total splenectomy and 4.3% splenorrhaphy), while selective non-operative management was successful in 16 (34%) of the patients. Higher intra-operative grade of splenic injury was found to be significantly associated with blunt abdominal trauma, haemodynamic instability and associated intra-abdominal injuries. 44 patients (93.6%) were discharged home in a general good condition. The morbidity and mortality were seen in 8.5% and 6.4% respectively. Conclusion: Splenic injuries usually follow blunt abdominal trauma, particularly after road traffic accidents. It is common during the first four decades of life with males being frequently affected. The great success rate of adopting selective non-operative management is worthwhile.
 B. Schnüriger, J. Kilz, D. Inderbitzin, M. Schafer, R. Kickuth, M. Luginbühl, et al., “The Accuracy of FAST in Relation to Grade of Solid Organ Injuries: A Retrospective Analysis of 226 Trauma Patients with Liver or Splenic Lesion,” BMC Medical Imaging, Vol. 9, 2009, p. 3. http://dx.doi.org/10.1186/1471-2342-9-3
 S. R. Klepac, “Spleen Trauma Imaging,” 2011. http://emedicine.medscape.com/article/373694-overview
 S. Di Saverio, E. E. Moore, G. Tugnoli, N. Naidoo, L. Ansaloni, S. Bonilauri, et al., “Non Operative Management of Liver and Spleen Traumatic Injuries: A Giant with Clay Feet,” World Journal of Emergency Surgery, Vol. 7, No. 3, 2012, pp. 1-4. http://dx.doi.org/10.1186/1749-7922-7-3
 C. H. van der Vliesm, O. M. van Delden, B. J. Punt, K. J. Ponsenm, J. A. Reekers and J. C. Goslings, “Literature Review of the Role of Ultrasound, Computed Tomography and Transcatheter Arterial Embolization for the Treatment of Traumatic Splenic Injuries,” CardioVascular and Interventional Radiology, Vol. 33, 2010, pp. 1079-1087. http://dx.doi.org/10.1007/s00270-010-9943-6
 J. M. Haan, G. V. Bochicchio, N. Kramer and T. M. Scalea, “Nonoperative Management of Blunt Splenic Injury: A 5-Year Experience,” The Journal of Trauma Injury, Infection, and Critical Care, Vol. 58, 2005, pp 492-498. http://dx.doi.org/10.1097/01.TA.0000154575.49388.74
 S. Abunnaja, L. Panait, J. A. Palesty and S. Macaron, “Laparoscopic Splenectomy for Traumatic Splenic Injury after Screening Colonoscopy,” Case Reports in Gastroenterology, Vol. 6, 2012, pp. 624-628. http://dx.doi.org/10.1159/000343428
 S. A. Rehim, H. Dagash, P. P. Godbole, A. A. Raghavan and G. V. Murthi, “Subtle Radiological Features of Splenic Avulsion Following Abdominal Trauma,” Case Reports in Medicine, Vol. 2010, 2010, pp. 1-4. http://dx.doi.org/10.1155/2010/762493
 D. S. P. Popovic and M. Jeromel, “Percutaneous Transcatheter Arterial Embolization in Haemodynamically Stable Patients with Blunt Splenic Injury,” Radiology and Oncology, Vol. 44, No. 1, 2010, pp. 30-33. http://dx.doi.org/10.2478/v10019-010-0011-2
 E. A. Agbakwuru, A. A. Akinkuolie, O. A. Sowande, O. A. Adisa, O. I. Alatise, U. U. Onakpoya, O. Uhumwango and A. R. K. Adesukanmi, “Splenic Injuries in a Semi Urban Hospital in Nigeria,” East and Central African Journal of Surgery, Vol. 13, No. 1, 2008, pp. 95-100.
 B. Bessoud, A. Denys, J.-M. Calmes, D. Madoff, S. Qanadli and P. Schnyder, “Nonoperative Management of Traumatic Splenic Injuries: Is There a Role for Proximal Splenic Artery Embolization?” AJR, Vol. 186, No. 3, 2006, pp. 779-785. http://dx.doi.org/10.2214/AJR.04.1800
 S. Sinha, S. V. V. Raja and M. H. Lewis, “Recent Changes in the Management of Blunt Splenic Injury: Effect on Splenic Trauma Patients and Hospital Implications,” Annals of The Royal College of Surgeons of England, Vol. 90, No. 2, 2008, pp. 109-112. http://dx.doi.org/10.1308/003588408 X242033
 J. A. Weinberg, L. J. Magnotti, M. A. Croce and N. M. Edwards, “The Utility of Serial Computed Tomography Imaging of Blunt Splenic Injury: Still Worth a Second Look?” The Journal of Trauma Injury, Infection, and Critical Care, Vol. 62, No. 5, 2007, pp. 1143-1148. http://dx.doi.org/10.1097/ TA.0b013e318047b7c2
 A. A. Akinkuolie, O. O. Lawal, O. A. Arowolo, E. A. Agbakwuru and A. R. K. Adesunkanmi, “Determinants of Splenectomy in Splenic Injuries Following Blunt Abdominal Trauma,” SAJS, Vol. 48, No. 1, 2010, pp. 15-19.
 T. C. Konig, N. R. M. Tai and M. S. Walsh, “Blunt Splenic Trauma,” Annals of The Royal College of Surgeons of England, Vol. 90, No. 7, 2008, pp. 626-627. http://dx.doi.org/10.1308/003588408 X321602
 J. J. Hallman, K. J. Brasel, N. Yoganandan and F. A. Pintar, “Splenic Trauma as an Adverse Effect of TorsoProtecting Side Airbags: Biomechanical and Case Evidence,” Annals of Advances in Automotive Medicine, Vol. 53, 2009, pp. 13-24.
 D. Demetriades, P. Hadjizacharia, C. Constantinou, C. Brown, K. Inaba, P. Rhee and A. Salim, “Selective Nonoperative Management of Penetrating Abdominal Solid Organ Injuries,” Annals of Surgery, Vol. 244, No. 4, 2006, pp. 620-628. http://dx.doi.org/10.1097/01.sla.0000237743.22633.01
 C. C. Burlew, L. Z. Kornblith, E. E. Moore, J. L. Johnson and W. L. Biffl, “Blunt Trauma Induced Splenic Blushes Are Not Created Equal,” World Journal of Emergency Surgery, Vol. 7, No. 1, 2012, p. 8. http://dx.doi.org/10.1186/1749-7922-7-8
 M. Hurtuk, R. L. Reed, T. J. Esposito, K. A. Davis and F. A. Luchette, “Trauma Surgeons Practice What They Preach: The NTDB Story on Solid Organ Injury Management,” Journal of Trauma, Vol. 61, No. 2, 2006, pp. 243-254.
 A. Mikocka-Walus, H. C. Beevor, B. Gabbe, R. L. Gruen, J. Winnett and P. Cameron, “Management of Spleen Injuries: The Current Profile,” ANZ Journal of Surgery, Vol. 80, No. 3, 2010, pp. 157-161. http://dx.doi.org/10.1111/j.1445-2197.2010.05209.x
 S. R. Todd, M. Arthur, C. Newgard, J. R. Hedges and R. J. Mullins, “Hospital Factors Associated with Splenectomy for Splenic Injury: A National Perspective,” Journal of Trauma, Vol. 57, 2004, pp. 1065-1071.