Delayed splenic rupture 10 days following blunt abdominal trauma in a child.
Mariko Kazuta, Atsushi Yamada, Koichi Uemura et al.
✦ AI-curated · Sources linked
Case in brief
A child experienced a delayed splenic rupture 10 days after blunt abdominal trauma, initially managed conservatively with symptom resolution. Despite clinical improvement, the patient unexpectedly died shortly after being left unattended. Autopsy revealed a nearly healed splenic laceration with strict adhesion to adjacent organs and a rupture with a mixed hematoma, highlighting the risks associated with splenic injuries.
Diagnostic / clinical pearl
Clinicians should maintain a high index of suspicion for delayed splenic rupture in pediatric patients with a history of splenic injury, even when they appear to be clinically stable.
Why it matters
This case emphasizes the need for vigilant follow-up and monitoring in patients with splenic injuries, as delayed complications can occur despite initial conservative management.