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Case Studies | Medicine | United Kingdom | Volume 12 Issue 11, November 2023 | Rating: 4.9 / 10
An Case of Delayed Presentation Following a Mechanical Slip and Fall Associated with Splenic Injury
Danielle Lourdes D Souza
Abstract: The spleen is a highly specialized intraabdominal organ with major functions in hematological and immunological systems. Splenic rupture which can occur as a direct result of abdominal trauma or underlying pathology is a critical condition. Although a vast majority of cases have tell - tale signs or symptoms of splenic rupture, lack of them does not exclude splenic rupture as an underlying problem. This is especially true in the elderly who may additionally have altered cognitive states which could complicate the path to reaching this diagnosis further. Splenic injury/rupture could also occur in states of splenomegaly without any history of trauma. In the context of trauma, recent research proves that the use of rib fractures from middle plus lower segments as an indication for abdominal screening can significantly improve sensitivity for identification of solid organ injury, including splenic injury [1]. This case report re - iterates this, as demonstrated in a case of a 60 - year - old female presenting to the emergency department 3 weeks following a minor fall who got diagnosed with poly - trauma including multiple lower rib fractures, a hydropneumothorax as well as grade 3 splenic injury.
Keywords: splenic injury, traumatic spleen rupture, splenic laceration, poly trauma, rib fracture
Edition: Volume 12 Issue 11, November 2023,
Pages: 302 - 305