@article{ref1,
title="Delayed splenic rupture presenting 8 days following blunt abdominal trauma due to a motor vehicle accident",
journal="International journal of surgery case reports",
year="2023",
author="Alqtishat, Bayan and Hodali, Ahmad and Abukeshek, Tawfiq and Al-Shobaki, Tawfeeq",
volume="109",
number="",
pages="e108474-e108474",
abstract="INTRODUCTION: Hemodynamic instability in previously stable trauma patients carries rather not a wide differential diagnosis. Delayed Splenic Rupture is certainly not on the top of the list. CASE PRESENTATION: We present a patient with delayed splenic rupture eight days after a blunt abdominal trauma caused by a motor vehicle accident. The patient's initial full-body trauma protocol CT scan was negative for internal injuries and rib fractures. He was discharged after 48 h of uneventful observation. Returning eight days with grade III subcapsular splenic hematoma; with negative history of strenuous activities or a second trauma. A trial of non-operative management was opted for after stabilizing the patient. However, the patient's hemodynamic status deteriorated and he was operated on a couple of hours after presentation. <br><br>DISCUSSION: Delayed splenic rupture remains a rare diagnosis with an open time window for presentation. While it is a rare entity, delayed splenic rupture increases the mortality rate in an otherwise non-mortal injury. <br><br>CONCLUSION: This case presents an important educational value in bringing forth such rare diagnoses in trauma patients and highlights the management transition from a non-operative approach to an operative one.<p /> <p>Language: en</p>",
language="en",
issn="2210-2612",
doi="10.1016/j.ijscr.2023.108474",
url="http://dx.doi.org/10.1016/j.ijscr.2023.108474"
}