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Updated: Mar 28, 2026

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
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[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
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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.

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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.