8 research outputs found
Trivial trauma and delayed rupture of a normal spleen: a case report
Although a majority of splenic ruptures present acutely with a known mechanism of injury, a
minority of patients present days to weeks following trauma with a delayed rupture. Also uncommon is the
atraumatic rupture, the vast majority of which occur in patients with underlying splenic pathology. A handful of
cases of apparently spontaneous rupture of a normal spleen are reported; however, there is debate about whether
these actually represent delayed ruptures following a history of trauma that is not elicited. Although a few cases of
delayed rupture of the spleen following trivial trauma have been reported, the majority of these present evidence
of an underlying disease process. We found only two such cases that documented a normal spleen and three
cases where underlying splenic pathology was not reported. We review the literature and discuss the
phenomenon of delayed rupture of the normal spleen following trivial trauma