title: [Late splenic rupture: a risk of conservative treatment].
abstract: We report a 33 year old male admitted after a traffic accident with a painful abdomen and an open ankle fracture. An abdominal CAT scan showed a splenic laceration and free ascites. A conservative treatment was decided considering that the patient was hemodynamically stabilized. Seven days later, the patient appeared hypotense and with severe pain and was operated. During surgical intervention, a massive hemoperitoneum due to splenic bleeding from the spleen was found and a splenectomy was performed. Postoperative outcome was uneventful. The therapeutic approach to splenic traumatism ranges from splenectomy to medical treatment. The report case is an example of a complication of this later approach.
authors.affiliation: Servicio de Cirugía, Hospital del Trabajador, Santiago de Chile.
authors.forename: R
authors.initials: R
authors.lastname: Espinoza
authors.forename: G
authors.initials: G
authors.lastname: Rivero
authors.forename: H
authors.initials: H
authors.lastname: Aguilera
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D013154:Spleen / Q000293:injuries*; D013156:Splenectomy; D013161:Splenic Rupture / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014949:Wounds, Nonpenetrating / Q000150:complications*
vernacular_title: Rotura tardía del bazo: un riesgo del tratamiento conservador.