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Case Report
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| Delayed splenic rupture presenting as atypical chest pain and right bundle branch block | ||||||
| Travelyan M Walker1, Omar K Danner2, Kenneth L Wilson3, L Ray Matthews4 | ||||||
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1MD, General Surgery Resident, Department of Surgery, Morehouse School of Medicine, Atlanta, GA USA.
2MD, FACS, Assistant Professor, Department of Surgery, Morehouse School of Medicine, Atlanta, GA USA. 3MD, FACS, Assistant Professor and Director of Trauma, Department of Surgery, Morehouse School of Medicine, Atlanta, GA USA. 4MD, FACS, Assistant Professor and Director of Critical Care, Department of Surgery, Morehouse School of Medicine, Atlanta, GA USA. | ||||||
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| How to cite this article: |
| Walker TM, Danner OK, Wilson KL, Matthews LR. Delayed splenic rupture presenting as atypical chest pain and right bundle branch block. International Journal of Case Reports and Images 2013;4(6):330–333. |
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Abstract
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Introduction:
Although splenic injury is the most frequent abdominal injury resulting from blunt trauma, delayed splenic rupture is a rare event. Traumatic rupture of the spleen has been well described in medical literature and is found in approximately 30% of patients undergoing surgery for blunt abdominal injury. Computed tomography negative delayed rupture of the spleen is a very rare clinical entity. This is in spite of computed tomography having a sensitivity and specificity for detection of splenic injuries as high as 96% and 100%, respectively. When a patient presents after blunt abdominal trauma, awareness of the problem of delayed splenic rupture, a high index of clinical suspicion and rapid diagnostic approach may help reducing the morbidity and mortality associated with unrecognized splenic injury and/or hemorrhage.
Case Report: We present a case report of a 61-year-old male restrained driver, involved in a motor vehicle crash, who presented with a normal spleen on initial computed tomography scan. Conclusion: Computed tomography - negative delayed rupture of the spleen is a very rare clinical entity. | |
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Keywords:
Delayed splenic rupture, Splenic injury, Chest pain
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Author Contributions
Travelyan M Walker – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Omar K Danner – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Kenneth L Wilson – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published L Ray Matthews – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Travelyan M Walker et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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