Calcified splenic hematoma presenting as a pelvic mass.
The spleen is the most vulnerable visceral organ involved in blunt abdominal trauma; 40% to 70% of patients with blunt splenic laceration can be managed with nonsurgical methods. A majority of hematomas of the spleen can heal and be absorbed within 2 to 3 months; through an unknown mechanism in an unusual condition, the hematoma may organize and eventually calcify. Herein, we report on a senile female with blunt abdominal trauma 6 years previous, who turned out to have a calcified splenic hematoma with clinical presentations of a palpable pelvic mass and intestinal obstruction. A total splenectomy, including the calcified mass, was performed. She experienced great clinical improvement postoperatively. She was uneventfully discharged 1 week later.
Department of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
Yu-Pao
YP
Hsu
Ray-Jade
RJ
Chen
Jen-Feng
JF
Fang
Being-Chuan
BC
Lin
D000368:Aged; D000369:Aged, 80 and over; D002114:Calcinosis / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006406:Hematoma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D013156:Splenectomy; D013158:Splenic Diseases / Q000175:diagnosis* / Q000601:surgery