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Journal of Trauma and Injury 2013;26(1):34-37.
Trivial Trauma and Non Pathological Delayed Splenic Rupture: A Case Report
Kwang Min Kim, Kuk Jin Kim, Hyun Chul Kim
Department of Trauma Surgery, The Armed Forces Capital Hospital, Seongnam, Korea. Kim0812@chol.com
경미한 외상에 의한 지연성 비장 손상
김광민, 김국진, 김현철
국군수도병원 외상외과
Received: 2 December 2012   • Revised: 5 December 2012   • Accepted: 18 January 2013
Abstract
Although a majority of patients with splenic rupture present acutely, up to 15% present with a delayed rupture days to weeks following a substantial abdominal injury. The mortality for patients presenting with acute splenic rupture is approximately 1% whereas that associated with delayed rupture approaches 15%. Although many cases of delayed splenic rupture have been reported, the majority of those reports present delayed splenic rupture associated with an underlying systemic disorder such as liver or kidney disease, or another hematologic disorder. We found a delayed splenic rupture case that documented the normal spleens of young healthy soldiers after trivial abdominal trauma, and we have had successful treatment experience with delayed rupture of a normal spleen after trivial trauma. Therefore, we want to review the literature and discuss the phenomenon of delayed rupture of the spleen following trivial trauma.
Key Words: Delayed splenic rupture; Spleen; Minor trauma


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