Delayed Splenic Rupture: A Case Report and Literature Review

Abstract

The spleen is one of the most commonly injured organs in the body after blunt abdominal trauma. Our objective was to present a case of the rare entity called "delayed splenic rupture", which is the delayed manifestation of splenic injury following a trauma in which the initial ultrasonography study was normal. We also review the previous 13 cases up to 2015 and offer our recommendations. We present a case of a 60-year-old male with a history of road traffic accident 3.5 days prior to admission to our hospital with initial normal ultrasonography scan done at a peripheral referring hospital. He was evaluated and proved to have a large subcapsular splenic hematoma and significant hemoperitoneum. He was offered splenectomy.