We report on a case of splenic rupture that presented eleven days after a trivial injury. Possible explanations of the delay in presentation and ways for early detection are discussed. Emergency physicians should always bear this entity in mind before discharging patients with left thoracoabdominal injury.
BerlatzkyY., ShiloniE., AnnerH., WeissY.“Delayed rupture of the spleen” or delayed diagnosis of the splenic injury?Isr J Med Sci1980; 16(9-10): 659–64.
2.
KlugerY., PaulD.B., RavesJ.J.Delayed rupture of the spleen – myths, facts and their importance: case reports and literature review.J Trauma1994; 36(4): 568–71.
3.
FosterR.P.Delayed haemorrhage from the ruptured spleen.Br J Surg1970; 57(3): 189–92.
4.
BenjaminC.I., EngravL.H., PerryJ.F.JrDelayed rupture or delayed diagnosis of rupture of the spleen.Surg Gynaecol Obstet1976; 142(2): 171–2.
5.
CogbillT.H., MooreE.E., JurkovichG.J.Nonoperative management of blunt splenic trauma: a multicenter experience.J Trauma1989; 29(10): 1312–7.
6.
OlsenW.R., PolleyT.Z.JrA second look at delayed splenic rupture.Arch Surg1977; 112(4): 422–5.
7.
FarhatG.A., AbduR.A., VanekV.W.Delayed splenic rupture: real or imaginary?Am Surg1992; 58(6): 340–5.
8.
SimpsonR.A., AjuwonR.Occult splenic injury: delayed presentation manifesting as jaundice.Emerg Med J2001; 18(6): 504–5.
9.
SchultzD.A., FroelichJ.W.Delayed rupture of the spleen. A case report.Clin Nucl Med1985; 10(9): 642–5.
10.
DevaA.K., ThompsonJ.F.Delayed rupture of the spleen 5 1/2 years after conservative management of traumatic splenic injury.Aust N Z J Surg1996; 66(7): 494–5.
11.
RozyckiG.S.Abdominal ultrasonography in trauma.Surg Clin North Am1995; 75(2): 175–91.
12.
PeitzmanA.B., MakarounM.S., SlaskyB.S., RitterP.Prospective study of computed tomography in initial management of blunt abdominal trauma.J Trauma1986; 26(7): 585–92.
13.
McKenneyM., LentzK., NunezD.Can ultrasound replace diagnostic peritoneal lavage in the assessment of blunt trauma?J Trauma1994; 37(3): 439–41.
14.
FernandezL., McKenneyM.G., McKenneyK.L.Ultrasound in blunt abdominal trauma.J Trauma1998; 45(4): 841–8.
