Traumatic splenic laceration with delayed rupture secondary to

Am J Emerg Med · Dec 2021

Case Reports

Traumatic splenic laceration with delayed rupture secondary to coughing in a patient with Von Willebrand disease.

We describe the case of a 54-year-old male with Von Willebrand Disease who presented to the Emergency Department (ED) with 2 weeks of worsening abdominal pain after falling on his left flank while boating. On his initial presentation, he was found to have a Grade II splenic injury that was managed non operatively by the trauma service. Four days later, he returned to the ED when he developed severe abdominal pain after coughing and was found to have active extravasation from the splenic parenchyma with hemoperitoneum on CT angiography and a grossly positive FAST exam. Intraoperatively, he was found to have a Grade V splenic injury and subsequently underwent splenectomy.

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- Christopher Jones, Steven Sattler, and Robert Gekle.
- Emergency Medicine Residency Program, Good Samaritan Hospital Medical Center, West Islip, NY, United States of America. Electronic address: chris.jones1103@gmail.com.
- Am J Emerg Med. 2021 Dec 1; 50: 812.e5-812.e7.
AbstractWe describe the case of a 54-year-old male with Von Willebrand Disease who presented to the Emergency Department (ED) with 2 weeks of worsening abdominal pain after falling on his left flank while boating. On his initial presentation, he was found to have a Grade II splenic injury that was managed non operatively by the trauma service. Four days later, he returned to the ED when he developed severe abdominal pain after coughing and was found to have active extravasation from the splenic parenchyma with hemoperitoneum on CT angiography and a grossly positive FAST exam. Intraoperatively, he was found to have a Grade V splenic injury and subsequently underwent splenectomy.Copyright © 2021 Elsevier Inc. All rights reserved.

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Traumatic splenic laceration with delayed rupture secondary to coughing in a patient with Von Willebrand disease.

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