Increasing risk over time: Delayed spleen rupture after trauma
Akademik Acil Tip Olgu Sunumlari Dergisi, cilt.5, sa.11, ss.250-252, 2014 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 5 Sayı: 11
- Basım Tarihi: 2014
- Doi Numarası: 10.5152/jaemcr.2014.541
- Dergi Adı: Akademik Acil Tip Olgu Sunumlari Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.250-252
- Anahtar Kelimeler: Delayed splenic rupture, blunt abdominal trauma, FAST
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: Delayed rupture of the spleen is defined as splenic rupture occurring 48 hours or more after blunt abdominal trauma. The diagnostic process should involve the timely and proper use of focused assessment with sonography for trauma (FAST) and computerized tomography (CT). Case Report: Our study hereby reports a case of a 21-year-old male patient who sustained a blunt abdominal trauma and who was subsequently discharged due to the observation of normal findings on the initial physical examination, ultrasonography, and CT. The patient was re-admitted to the hospital 15 days later with worsening complaints, after which he was diagnosed with splenic rupture and discharged from the hospital with full recovery after splenectomy. Conclusion: The possibility of delayed splenic rupture should not be overlooked in blunt abdominal trauma patients with normal physical examination findings and a problem-free medical history. Although repeated physical examination and FAST are important diagnostic procedures, CT should be performed without delay in the presence of a high-energy trauma and hemodynamic instability.