title: [Splenic rupture days after falling: coordination by the surgeon].
abstract: Delayed presentation of blunt abdominal trauma requires a specific work-up and treatment. Patients who present several days after blunt trauma are haemodynamically stable and therefore do not require standard Advanced Trauma Life Support (ATLS) management. These patients require a unique approach by a dedicated team to evaluate and treat possible occult injuries. In line with this, ultrasound alone is not sufficient and retroperitoneal evaluation by means of contrast-enhanced abdominal CT to rule out occult injuries is necessary. A delayed occult splenic injury, as presented here, requires angiography only if there are signs on CT that predict an increased risk of delayed rupture. In addition, hospitalisation of these patients is not always necessary.
authors: Medisch Centrum Haaglanden, afd. Heelkunde, Den Haag, the Netherlands. S.Meylaerts@mchaaglanden.nl
authors: Sven A G
authors: SA
authors: Meylaerts
authors: Frank J P
authors: FJ
authors: Beeres
mesh_terms: D000058:Accidental Falls; D006801:Humans; D013161:Splenic Rupture / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery