LATE TRAUMATIC SPLENIC RUPTURE REPORT OF ONE CASE

We report a 33 year old male admitted after a traffic accident with a painful abdomen and an open ankle fracture. An abdominal CAT scan showed a splenic laceration and free ascites. A conservative treatment was decided considering that the patient was hemodynamically stabilized. Seven days later, the patient appeared hypotense and with severe pain and was operated. During surgical intervention a masive hemoperitoneum due to splenic bleeding from the spleen was found and a splenectomy was performed. Postoperative outcome was uneventfill. The therapeutic approach to splenic traumatism ranges from splenectomy to medical treatment. The report case is an example of complication of this later approach.