title: [Secondary Splenic Rupture after Initially Inconspicuous CAT Scan].
abstract: BACKGROUND
  Splenic injuries occur in 1-5 % of blunt abdominal trauma cases. After initial haemorrhagic compression, secondary delayed spleen rupture can occur with a latency of one day to a month or longer. Mortality is then up to 15 %. The spleen injury is almost always recognisable on CT or ultrasound.
  
  
  METHODS
  In one case from our clinic, secondary splenic rupture occurred in a patient after discharge from hospitalisation, even though the initial CT and ultrasound were unremarkable. The patient survived, and underwent emergent splenectomy 8 days after the trauma. An expert review of the case identified no errors in treatment.
  
  
  CONCLUSIONS
  No case of secondary splenic rupture after initially unremarkable diagnostic studies and clinical course has previously been published. Secondary splenic rupture has a high mortality rate. Patients should be advised of potential complications after hospital discharge, and should return to the hospital immediately in case of symptoms.
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Kliniken Sindelfingen, Klinikverbund Südwest.
authors.forename: A
authors.initials: A
authors.lastname: Prokop
authors.affiliation: Radiologie, Kliniken Sindelfingen, Klinikverbund Südwest.
authors.forename: S
authors.initials: S
authors.lastname: Koll
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Kliniken Sindelfingen, Klinikverbund Südwest.
authors.forename: M
authors.initials: M
authors.lastname: Chmielnicki
mesh_terms: D000328:Adult; D003951:Diagnostic Errors / Q000517:prevention & control*; D005188:False Negative Reactions; D006801:Humans; D008297:Male; D012008:Recurrence; D013156:Splenectomy; D013161:Splenic Rupture / Q000000981:diagnostic imaging* / Q000601:surgery*; D016896:Treatment Outcome