Acta Med. 2002, 45: 45-46

Delayed Splenic Rupture: An Anusual Cause of Acute Surgical Abdomen

Vladimír Špaček, Pavel Jandík, Karel Šmejkal

Charles University in Prague, Faculty of Medicine in Hradec Králové, Department of Surgery, Hradec Králové, Czech Republic

Received February 1, 2002
Accepted April 1, 2002


1. Ambacher T, Reisener KP, Kasperk R, Schumpelick V. Transport management in blunt abdominal trauma.Case report of a patient with delayed diagnosis of splenic rupture. Zentralbl, Chir 1999; 124(11):1036–40.
2. Bioli F, Gattoni F, Tagliaferri B et al. Blunt trauma of the spleen: the delayed rupture in computed tomography. Bildgebung 1994 Sep; 61(3):210–5.
3. Deva AK,Thompson JF. Delayed rupture of the spleen 5 1/2 years after conservative managenent of traumatic splenic injury. Aust N Z J Surg 1996 Jul; 66(7):494–5. <>
4. Gores PF, Simso LA. Splenic injury during colonoscopy. Arch Surg 1989 Nov; 124(11):1342. <>
5. Fernandes CM. Splenic rupture manifesting two years after diagnosis of injury. Acad Emerg Med 1996 Oct; 3(10):946–7. <>
6. Kluger Y, Paul DB, Raves JJ et al. Delayed rupture of the spleen – myths,facts and their importance: case reports and literature rewiew. J Trauma 1994 Apr; 36(4):568–71. <>
7. Knudson MM, Maull KI. Nonoperative manegement of solid organ injuries. Past, present and future. Surg Clin North Am 1999 Dec; 79(6):1357–71. <>
8. Lynch JM, Meza MP, Newman B et al. Computed tomography grade of splenic injury is predictive of the time required for radiographic healing. J Pediatr Surg 1997 Jul; 32(7):1093–5. <>
9. Nam R, Carr MM, Jamieson CG. Delayed rupture of the spleen and streptokinase therapy. Can J Surg 1996 Apr; 39(2):151–4.
10. Sriskandavarman S. Delayed rupture of the spleen can masquerade as appendicitis. Ann R Coll Surg Engl 1984 Jul; 66(4):300.
11. Sujka SK, Evans EJ, Nigam A. Delayed rupture of the spleen presenting as a scrotal hematoma. J Trauma 1986 Jan; 26(1):85–6. <>
12. Taylor JL, Middleton MD. Delayed rupture of the spleen in theumatoid arthritis. Ann Rheum Dis 1990 Jul; 49(7):545–6. <> <PubMed>
13. Wilkinson AE. Rupture of the spleen.An analysis of 421 cases. S Afr J Surg 1989 Jun; 27(2):74–5.
front cover

ISSN 1211-4286 (Print) ISSN 1805-9694 (Online)

Open access journal