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

Synonyms

Definition

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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References

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

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