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Zweizeitige Milzruptur am 13. postraumatischen Tag nach initial unauffällig befundener CT-Untersuchung

Delayed splenic rupture 13 days post-trauma after initially inconspicuous computed tomography examination

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Zusammenfassung

Zweizeitige Milzrupturen sind seltene, gleichwohl bekannte und potentiell sehr gefährliche Komplikationen nach stumpfen abdominalen Traumata. Ihre Inzidenz ist zwischen dem 4. und 8. posttraumatischen Tag am höchsten, wobei in der Literatur auch Fälle mit einer Latenz von Wochen beschrieben werden. Wir berichten im Folgenden über eine zweizeitige Milzruptur am 13. posttraumatischen Tag, wobei die dem Ereignis vorangegangenen computertomographischen Befunde sich in der überwiegenden Zahl als unauffällig präsentierten und geben einen Überblick über die pathophysiologischen Mechanismen, die Diagnostik sowie Therapie.

Abstract

Delayed splenic injuries are rare but nevertheless well known and very dangerous complications after blunt abdominal trauma. The highest incidence is reported between four and eight days after trauma; however some cases with a latent period of weeks have been published. We present a case of delayed splenic rupture 13 days after trauma where most computed tomography (CT) examinations were interpreted as normal and present a review of the pathophysiology of delayed rupture, diagnosis and therapy.

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Authors and Affiliations

  1. Klinik für Unfallchirurgie, Universitätsspital Zürich, Rämistraße 100, CH-8091, Zürich, Schweiz

    M.J. Scheyerer, V. Schoenborn, G.A. Wanner, C.M.L. Werner & H.-P. Simmen

  2. Institut für diagnostische und interventionelle Radiologie, Universitätsspital Zürich, Zürich, Schweiz

    G. Andreisek

Authors
  1. M.J. Scheyerer
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  2. V. Schoenborn
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  3. G. Andreisek
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  4. G.A. Wanner
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  5. C.M.L. Werner
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  6. H.-P. Simmen
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Correspondence to M.J. Scheyerer.

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Scheyerer, M., Schoenborn, V., Andreisek, G. et al. Zweizeitige Milzruptur am 13. postraumatischen Tag nach initial unauffällig befundener CT-Untersuchung. Unfallchirurg 116, 559–562 (2013). https://doi.org/10.1007/s00113-012-2259-z

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  • DOI: https://doi.org/10.1007/s00113-012-2259-z

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