The spleen is the most commonly injured solid organ in patients sustaining blunt abdominal trauma. The widespread use of computed tomography (CT) has significantly improved its diagnosis and grading. Delayed splenic rupture (DSR) refers to hemorrhage occurring more than 48 hours after blunt abdominal trauma in a patient who was initially hemodynamically stable. Although uncommon, it remains a recognized complication of splenic injury and can occur days to weeks after the initial trauma and carries significant mortality. We present a case of DSR presented one week after the injury, which was managed nonoperatively. The aim is to shed light on this uncommon but potentially fatal complication of spleen injury.
Ahmed et al. (Sat,) studied this question.