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Calcified splenic hematoma presenting as a pelvic mass
Yu-Pao Hsu1, Ray-Jade Chen, Jen-Feng Fang
1Department of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
Chang Gung Medical Journal
|July 27, 2002
Summary
A rare case of calcified splenic hematoma after blunt trauma presented as pelvic mass and intestinal obstruction. Surgical removal led to significant patient improvement, highlighting a unique complication of splenic injury.
Area of Science:
- Trauma Surgery
- Abdominal Imaging
- Surgical Pathology
Background:
- Blunt abdominal trauma frequently affects the spleen, the most vulnerable visceral organ.
- Nonsurgical management is successful in 40%-70% of splenic laceration cases.
- Splenic hematomas typically resolve within 2-3 months but can unusually organize and calcify.
Observation:
- A senile female patient presented with a palpable pelvic mass and intestinal obstruction.
- Imaging revealed a calcified splenic hematoma, a rare sequela of blunt abdominal trauma sustained 6 years prior.
- The patient's symptoms were attributed to the large, calcified splenic hematoma.
Findings:
- A total splenectomy was performed, successfully removing the calcified splenic hematoma.
- Postoperative recovery was uneventful, with significant clinical improvement observed.
- Histopathological examination confirmed the nature of the calcified splenic hematoma.
Implications:
- This case underscores the potential for delayed, unusual complications from splenic trauma.
- It highlights the importance of considering rare sequelae in patients with a history of abdominal injury.
- Surgical intervention can be effective for symptomatic, calcified splenic hematomas.