Encyclopedia of Trauma Care

2015 Edition
| Editors: Peter J. Papadakos, Mark L. Gestring

Delayed Splenic Rupture

  • Khanjan H. NagarshethEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-642-29613-0_124



Delayed splenic rupture (DSR) is a scene of blunt splenic injury in the form of significant hemorrhage from a ruptured spleen more than 48 h after injury. The 48-h time interval is also known as the latent period; it is named after Baudet who first described this entity in 1907 (Baudet 1907).

Preexisting Condition

The spleen is the most frequently injured organ after blunt trauma. The reported incidence of DSR spans a wide range from 0.3 % to 24 % when looking through the literature (Peitzman and Richardson 2010). The true significance of this entity lies in the mortality rates. It has been noted that the mortality rate from DSR is 5–15 %, whereas the mortality for an acute splenic rupture is in the realm of 1 % (Cogbill et al. 1989). In recent years, the incidence has decreased, possibly due to the use of multi-detector computed tomography (MDCT) to make the diagnosis of splenic injury and a more sophisticated method of treating splenic...

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  1. Baudet R (1907) Ruptures de la rate. Med Practique 3:565Google Scholar
  2. Cogbill TH, Moore EE, Jurkovich GJ et al (1989) Nonoperative management of blunt splenic trauma: a multicenter experience. J Trauma 29(10):1312–1317PubMedCrossRefGoogle Scholar
  3. Farhat GA, Abdu RA, Vanek VW (1992) Delayed splenic rupture: real or imaginary? Am Surg 58:340–345PubMedGoogle Scholar
  4. Gamblin TC, Wall CE Jr, Royer GM, Dalton ML, Ashley DW (2005) Delayed splenic rupture: case reports and review of the literature. J Trauma 59:1231–1234PubMedCrossRefGoogle Scholar
  5. Kluger Y, Paul DB, Raves JJ, Fonda M, Young JC, Townsend RN et al (1994) Delayed rupture of the spleen–myths, facts, and their importance: case reports and literature review. J Trauma 36(4):568–571PubMedCrossRefGoogle Scholar
  6. Liu PP, Liu HT, Hsieh TM, Huang CY, Ko SF (2012) Nonsurgical managment of delayed splenic rupture after blunt trauma. J Trauma 72:1019–1023Google Scholar
  7. Peitzman AB, Richardson JD (2010) Surgical treatment of injuries to the solid abdominal organs: a 50-year perspective from the Journal of Trauma. J Trauma 69:1011–1021PubMedCrossRefGoogle Scholar
  8. Sizer JS, Wayne ER, Frederick PL (1966) Delayed rupture of the spleen: review of the literature and report of six cases. Arch Surg 92:362–366PubMedCrossRefGoogle Scholar
  9. Weinberg JA, Magnotti LJ, Croce MA, Edwards NM, Fabian TC (2007) The utility of serial computed tomography imaging of blunt splenic injury: still worth a second look? J Trauma 62(5):1143–1147; discussion 1147–1148PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.R Adams Cowley Shock Trauma CenterUniversity of Maryland School of MedicineBaltimoreUSA