Delayed splenic rupture presenting 70 days following blunt abdominal trauma


      Delayed splenic rupture following conservative management of splenic injury is an extremely rare complication. We report a case of an adult patient who presented with delayed splenic rupture necessitating splenectomy, 2 months following blunt abdominal trauma. Imaging at the initial presentation demonstrated only minimal splenic contusion and the patient was discharge following 24 hours of observation.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Savage SA
        • Zarzaur BL
        • Magnotti LJ
        • Weinberg JA
        • Maish GO
        • Bee TK
        • et al.
        The evolution of blunt splenic injury: resolution and progression.
        J Trauma. 2008; 64: 1085-1091
        • Ruffolo DC
        Delayed splenic rupture: understanding the threat.
        J Trauma Nurs. 2002; 9: 34-40
        • Lee JS
        • Kwon OY
        • Choi HS
        • Hong HP
        • Ko YG
        Delayed splenic rupture with a 1-month latent period after minor trauma a case report.
        Korean J Crit Care Med. 2010; 25: 104-106
        • Weinberg JA
        • Magnotti LJ
        • Croce MA
        • Edwards NM
        • Fabian TC
        The utility of serial computed tomography imaging of blunt splenic injury: still worth a second look?.
        J Trauma. 2007; 62: 1143-1148
        • Baudet R
        Ruptures de la rate.
        Med Practique. 1907; 3: 565
        • Crawford RS
        • Tabbara M
        • Sheridan R
        • Spaniolas K
        • Velmahos GC
        Early discharge after nonoperative management of splenic injuries: increased patient risk caused by late failure.
        Surgery. 2007; 142: 337-342
        • Smith Jr., JS
        • Wengrovitz MA
        • DeLong BS
        Prospective validation of criteria, including age, for safe, nonsurgical management of the ruptured spleen.
        J Trauma. 1992; 33: 363-369
        • Benjamin CI
        • Engrav LH
        • Perry JF
        Delayed rupture or delayed diagnosis of rupture of the spleen.
        Surg Gynecol Obstet. 1976 Feb; 142: 171-172
        • Cocanour CS
        Blunt splenic injury.
        Curr Opin Crit Care. 2010; 16: 575-581
        • Toombs BD
        • Lester RG
        • Ben-Menachem Y
        • Sandler CM
        Computed tomography in blunt trauma.
        Radiol Clin North Am. 1981 Mar; 19: 17-35
        • Olsen WR
        • Polley TZ
        A second look at delayed splenic rupture.
        Arch Surg. 1977; 112: 422-425
        • Hiraide A
        • Yamamoto H
        • Yahata K
        • Yoshioka T
        • Sugimoto T
        Delayed rupture of the spleen caused by an intrasplenic pseudoaneurysm following blunt trauma: case report.
        J Trauma. 1994; 36: 743-744