Splenic Injury After Blunt Abdominal Trauma: An Unusual Presentation

Shamim, Shahzad; Razzak, Junaid Abdul; Umer, Shehzad M.; Chawla, Tabish

doi:10.1016/j.jemermed.2008.03.044

Cited by 9 publications

(11 citation statements)

References 7 publications

(5 reference statements)

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“…Webb et al and Jervis et al found that vertical incisions (paramedian or midline) were advantageous for extending upwards or downwards or for lateral extension. 17,23 Operative findings: On laparotomy blood in peritoneal cavity was found in all cases. The splenic injuries varied from large subcapsular hematoma, intraparenchymal laceration and laceration with involvement of hilar vessels to completely shattered spleen and splenectomy was performed in all those cases.…”

Section: Discussionmentioning

confidence: 97%

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Splenic injury: a clinical study and management in a tertiary care hospital

et al. 2015

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Section: Discussionmentioning

confidence: 97%

“…Jervis et al observed rigidity was a reliable finding in patient with blunt trauma abdomen. 17 Fixed splenic dullness (Ballance sign) was found in 2 cases. Cope stated that, demonstration of shifting dullness in the flank is sufficient to indicate bleeding from solid viscera.…”

Section: Discussionmentioning

confidence: 99%

Splenic injury: a clinical study and management in a tertiary care hospital

et al. 2015

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“…Splenic injuries were the most commonly associated abdominal injuries in this study. The spleen is the most commonly injured viscus in blunt abdominal trauma [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Head Injury: a Single-Center Retrospective Study

Maksoud

Al-Gahtany

2022

Applied Bionics and Biomechanics

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Aim. To determine the pattern and in-hospital mortality of thoracoabdominal injuries associated with head injuries (HI) due to motor vehicle accidents. Settings and Design. A single-center retrospective study in a tertiary care hospital, level 1 trauma center in the southern region of Saudi Arabia. Methods and Materials. Descriptive analysis was conducted to evaluate sex, age, types of head injury, associated thoracoabdominal injuries, particular admission day, duration of hospital stay, and discharge category, and associations between different variables and outcomes were analyzed. Results. The cohort had a mean age of 26.9 ± 15.8 years , with a predominance of men (86.9%). Thoracoabdominal injuries were present in 6.8% of MVA-related HI, and 14.3% of victims expired during their hospital stay, mostly within the first 10 days. All expired patients had posttraumatic brain lesions. Moreover, there was a significant association between intensive care unit (ICU) admission and poor prognosis. Conclusions. Existence of posttraumatic brain lesions and requirement of ICU admission are significant variables affecting outcomes in patients with motor vehicle-associated HI with concomitant thoracoabdominal trauma in this study. Patients who survived the first 10 days after trauma seemed to have a better prognosis. More efforts are needed to reduce the health burden of this lethal injury.

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“…Delayed splenic rupture is a rare injury that usually occurs after blunt abdominal trauma [9] , [10] such as motorcycle accidents [11] , [12] , car accidents [13] , falls from great high and riding accidents [4] , as well as after abdominal trauma during football matches [14] .…”

Section: Discussionmentioning

confidence: 99%

Case report-delayed splenic rupture in combination with medial femoral neck fracture after low energy trauma. Development of hemorrhagic shock 5days after hip prosthesis due to a rare cause

Leiblein

Ullrich

Habbe

et al. 2016

Trauma Case Reports

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A 79 year old female patient was admitted to our emergency department with a fracture of the right medial femoral neck six days after a fall on her right side and a cemented hemiprosthesis was implanted. Five days later, she developed a hemorrhagic shock and was diagnosed with a delayed splenic rupture and the spleen was resected. Histopathological examination showed a delayed rupture of an otherwise normal spleen without signs of an underlying pathology. The outcome was fatal: In the postoperative course she developed pneumonia, three weeks later she succumbed due to multiple organ failure.Even careful reevaluation of the case did not provide any clues to expect an injury of the spleen according to trauma mechanism.This case shows that delayed splenic rupture of a normal spleen may occur even after a low energy trauma. Injury of the spleen should therefore always be considered, even with an uncharacteristic anamnesis. Physical examination after trauma should therefore always include a careful clinical evaluation. The clinical threshold for a FAST examination should be low.The coincidence of a femoral neck fracture and a splenic rupture after a low energy trauma has not been reported before.

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Splenic Injury After Blunt Abdominal Trauma: An Unusual Presentation

Cited by 9 publications

References 7 publications

Splenic injury: a clinical study and management in a tertiary care hospital

Splenic injury: a clinical study and management in a tertiary care hospital

Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Head Injury: a Single-Center Retrospective Study

Case report-delayed splenic rupture in combination with medial femoral neck fracture after low energy trauma. Development of hemorrhagic shock 5days after hip prosthesis due to a rare cause

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