Delayed rupture of the spleen caused by an intrasplenic pseudoaneurysm following blunt trauma: case report.
The delayed rupture of the spleen in a 12-year-old boy is reported. He was admitted with an isolated blunt splenic injury. Successive echograms revealed an enlarging hypoechogenic region in the spleen. A magnetic resonance imaging (MRI) scan showed that this hypoechogenic region was a splenic pseudoaneurysm. On his 7th hospital day the pseudoaneurysm ruptured. An emergency laparotomy with splenorrhaphy was performed. His subsequent clinical course was uneventful and the pseudoaneurysm was replaced by a hematoma that eventually resolved.
Hiraide
A
A
Department of Traumatology, Osaka University Medical School, Japan.
Yamamoto
H
H
Yahata
K
K
Yoshioka
T
T
Sugimoto
T
T
D017541:Aneurysm, False / Q000150:complications / Q000209:etiology*; D002648:Child; D004108:Dilatation, Pathologic; D006801:Humans; D008297:Male; D013154:Spleen / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000293:injuries*; D013161:Splenic Rupture / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications*