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Daniel Sandner1, Beat Bundi1, Dominik Müller2

  • 11 Medizinische Klinik, Kantonsspital Frauenfeld.

Praxis
|July 26, 2018
PubMed
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A delayed splenic rupture from a paintball injury caused severe abdominal pain in a young patient. This case highlights successful non-operative management for this rare, organ-preserving spleen trauma.

Area of Science:

  • Trauma surgery
  • Emergency medicine
  • Abdominal imaging

Background:

  • Delayed splenic rupture is a rare but serious complication following abdominal trauma.
  • Paintball injuries can cause significant internal organ damage, often underestimated.
  • Initial presentation may be misleading, necessitating thorough patient history.

Observation:

  • A 29-year-old patient presented with severe abdominal pain.
  • Initial medical history and laboratory results were unremarkable.
  • Repeated, focused history revealed a paintball injury sustained two weeks prior.

Findings:

  • The patient experienced a third-degree splenic rupture with delayed manifestation.
  • Diagnosis was confirmed after detailed history taking.
Keywords:
Paintballdelayed splenic rupturenon-operative management in splenic ruptureorganerhaltende Therapie nach Milzrupturzweizeitige Milzruptur

Related Experiment Videos

  • The splenic injury was successfully treated non-operatively.

    • Implications:

    • This case underscores the potential for delayed splenic rupture following seemingly minor trauma.
    • Thorough patient history is crucial for diagnosing occult abdominal injuries.
    • Non-operative management can be a viable option for organ preservation in select cases of splenic trauma.