Related Experiment Video
Updated: Mar 28, 2026
02:09
Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
1.2K
[Secondary Splenic Rupture after Initially Inconspicuous CAT Scan]
A Prokop1, S Koll2, M Chmielnicki1
1Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Kliniken Sindelfingen, Klinikverbund Südwest.
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|December 17, 2015
Summary
Secondary spleen rupture, a rare complication of blunt abdominal trauma, can occur even with initially normal imaging. Patients discharged after trauma should seek immediate care if symptoms arise due to high mortality risks.
Area of Science:
- Trauma surgery
- Emergency medicine
- Diagnostic imaging
Background:
- Blunt abdominal trauma frequently causes splenic injuries, with a 1-5% incidence.
- Delayed spleen rupture can manifest days to weeks post-injury, carrying a significant mortality risk of up to 15%.
Observation:
- A case of secondary splenic rupture occurred in a patient post-discharge despite unremarkable initial CT and ultrasound.
- The patient underwent successful emergency splenectomy 8 days after the initial trauma.
Findings:
- This represents the first reported case of secondary splenic rupture following initially normal diagnostic evaluations and clinical presentation.
- The case highlights the potential for delayed spleen rupture even when initial assessments are negative.
Implications:
- Patients with blunt abdominal trauma require clear post-discharge instructions regarding potential delayed complications.
- Prompt medical attention is crucial for patients experiencing symptoms suggestive of spleen rupture after trauma, given the high mortality rate.
Related Concept Videos
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
513
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
513
01:28Esophageal Perforation-II: Clinical Manifestations and Management
940
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
940
01:22Esophageal Perforation-I: Introduction
745
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
745