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Updated: Jun 10, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Atraumatic splenic rupture: a 6-year case series.

Alice Elvy1, Laura Harbach, Aneel Bhangu

  • 1University of Birmingham Medical School, Edgbaston, Birmingham, UK.

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
|August 4, 2010
PubMed
Summary

Atraumatic splenic rupture is a rare condition often diagnosed late due to low suspicion. Early diagnosis with computed tomography and prompt splenectomy are crucial for patient outcomes.

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Area of Science:

  • Medicine
  • Surgery
  • Radiology

Background:

  • Atraumatic splenic rupture is an uncommon clinical presentation.
  • Diagnosis can be challenging due to low clinical suspicion, particularly without a history of trauma.
  • Prompt recognition and management are vital for favorable patient outcomes.

Purpose of the Study:

  • To describe the clinical experience with atraumatic splenic rupture at a district general hospital.
  • To evaluate the diagnostic utility of computed tomography (CT) and the necessity of splenectomy.

Main Methods:

  • Retrospective review of patients diagnosed with atraumatic splenic rupture over a 6-year period (2004-2010).
  • Analysis of diagnostic methods, clinical presentations, indications for surgery, and pathological findings.

Related Experiment Videos

Last Updated: Jun 10, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

  • Evaluation of the role of computed tomography in preoperative diagnosis.

    • Main Results:

    • Seven cases of atraumatic splenic rupture were identified, with an incidence of 1.2 per year.
    • Computed tomography confirmed the diagnosis preoperatively in 5 out of 5 cases where performed.
    • All seven patients required total splenectomy due to indications such as peritonitis, hypovolemic shock, or failed conservative management. Four cases were idiopathic, while three had underlying pathologies (amyloidosis, lymphoma, focal thrombosis).

    Conclusions:

    • A high index of suspicion is essential for emergency physicians and surgeons evaluating patients with potential atraumatic splenic rupture.
    • Computed tomography is a valuable tool for facilitating prompt diagnosis.
    • Early total splenectomy is frequently required for effective management of atraumatic splenic rupture.