[Delayed splenic rupture 13 days post-trauma after initially inconspicuous computed tomography examination]

Area of Science:

• Trauma Surgery
• Diagnostic Imaging
• Abdominal Injuries

Background:

• Delayed splenic rupture is a rare but serious complication following blunt abdominal trauma.
• The typical onset ranges from 4 to 8 days post-injury, but extended latent periods are documented.

Observation:

• A case of delayed splenic rupture occurred 13 days after blunt abdominal trauma.
• Initial computed tomography (CT) examinations were interpreted as normal, complicating diagnosis.

Findings:

• The study reviews the pathophysiology, diagnostic approaches, and therapeutic strategies for delayed splenic rupture.
• This case underscores the potential for delayed presentation even with negative initial imaging.

Implications:

• Highlights the importance of considering delayed splenic injury in patients with persistent or new-onset abdominal symptoms post-trauma.
• Suggests a need for vigilance and potentially serial imaging in specific clinical scenarios.
• Informs clinical practice regarding the diagnosis and management of these uncommon injuries.