Delayed Splenic Rupture: Myth or Reality?
Authors: Hazem El-Osta
Journal: Annals of Internal Medicine (2009)

Letters3 February 2009Delayed Splenic Rupture: Myth or Reality?Hazem El-Osta, MD and William J. Salyers Jr., MDHazem El-Osta, MDFrom University of Kansas School of Medicine Wichita, Wichita, KS 67214. and William J. Salyers Jr., MDFrom University of Kansas School of Medicine Wichita, Wichita, KS 67214.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-150-3-200902030-00026 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: The spleen is the most commonly injured organ in blunt abdominal trauma (1). Most splenic injuries manifest immediately after trauma, but some may occur days to weeks after blunt abdominal trauma. It is not clear whether delayed splenic rupture (DSR) represents delayed diagnosis of acute rupture or a truly delayed rupture (1, 2).Objective: To report a case of DSR confirmed by a normal initial result on computed tomography (CT).Case Report: A 42-year-old woman presented with 2 weeks of abdominal pain after a noncollision deceleration motor vehicle accident in which she was wearing a seatbelt. Her history included ...References1. Ruffolo DC. Delayed splenic rupture: understanding the threat. J Trauma Nurs. 2002;9:34-40. [PMID: 15997614] CrossrefMedlineGoogle Scholar2. Gamblin TC, Wall CE, Royer GM, Dalton ML, Ashley DW. Delayed splenic rupture: case reports and review of the literature. J Trauma. 2005;59:1231-4. [PMID: 16385306] CrossrefMedlineGoogle Scholar3. Dedi R, Bhandari S, Sagar PM, Turney JH. Delayed splenic rupture as a cause of haemoperitoneum in a CAPD patient with amyloidosis [Letter]. Nephrol Dial Transplant. 2001;16:2446. [PMID: 11733652] CrossrefMedlineGoogle Scholar4. Taylor JL, Middleton MD. Delayed rupture of the spleen in rheumatoid arthritis. Ann Rheum Dis. 1990;49:545-6. [PMID: 2383081] CrossrefMedlineGoogle Scholar5. Albala MM, Anamur M, Bernardo JR. Delayed spontaneous splenic rupture in sarcoidosis. R I Med J. 1989;72:175-7. [PMID: 2762728] MedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Kansas School of Medicine Wichita, Wichita, KS 67214.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCorrection: Delayed Splenic Rupture Metrics Cited ByAn Unusual Case of Hypotension and Electrocardiographic ChangesFacial Trauma Evaluation Leading to a Diagnosis of Delayed Splenic RuptureReturn to Play After Liver and Spleen TraumaDelayed splenic rupture: Dating the sub-capsular hemorrhage as a useful task to evaluate causal relationships with traumaAbdominaltraumaDisparity in Management and Long-term Outcomes of Pediatric Splenic Injury in CaliforniaCorrection: Delayed Splenic Rupture 3 February 2009Volume 150, Issue 3Page: 224-225KeywordsAbdominal painComputed axial tomographyHemoglobinLesionsLupus erythematosusRenal failureSerologySpleenSplenomegalyVomiting ePublished: 3 February 2009 Issue Published: 3 February 2009 CopyrightCopyright © 2009 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...