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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="surgery" lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher">JOHS</journal-id>
      <journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
      <journal-title-group>
        <journal-title>Journal of HealthCare Sciences</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2231-2196</issn>
      <issn pub-type="opub">0975-5241</issn>
      <publisher>
        <publisher-name>Radiance Research Academy</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">420</article-id>
      <article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2025.50714</article-id>
      <article-id pub-id-type="doi-url"/>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Surgery</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Delayed Splenic Rupture Following Blunt Abdominal Injury and Its Surgical Implications&#13;
</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Alghamdi</surname>
            <given-names>Masoud Ahmad</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alobaidi</surname>
            <given-names>Ahmed Eisa</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Aljohani</surname>
            <given-names>Yasir Salah</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alamin</surname>
            <given-names>Osamah Mohammed</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Bahamdeen</surname>
            <given-names>Anas Adel</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Almutairi</surname>
            <given-names>Ibrahim Naif</given-names>
          </name>
        </contrib>
      </contrib-group>
      <pub-date pub-type="ppub">
        <day>23</day>
        <month>07</month>
        <year>2025</year>
      </pub-date>
      <volume>5</volume>
      <issue>7</issue>
      <fpage>357</fpage>
      <lpage>363</lpage>
      <permissions>
        <copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
        <copyright-year>2009</copyright-year>
        <license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>Spleen is the most common injured organ following blunt abdominal injury. Splenic injury may remain asymptomatic until delayed splenic rupture (DSR) occurs, which is a relatively rare complication. DSR mortality rate is also relatively high, mainly due to missed diagnosis or misdiagnosis. Treatment of DSR is classified into non-operative management (NOM) and surgical interventions; however, there are no clear guidelines in which approach is preferred in which situation. Thus, the aim of this review is to discuss the pathology, diagnosis, and treatment of delayed splenic rupture, highlighting its surgical implications. Multiple pathophysiological theories have been introduced to explain DSR such as delayed rupture of splenic sub-capsular hematoma, clot lysis, and rupture from a pseudoaneurysm. Ultrasound and computed tomography (CT) can be used in the diagnosing process of DSR; however, CT is considered the gold standard. NOM is useful for hemodynamically stable patients with splenic injury; however, it has been associated with various latent complications necessitating a surgical intervention eventually. Surgical intervention (e.g. splenectomy) proved its effectiveness in treating DSR. Current knowledge is largely derived from case reports, highlighting the need for larger, prospective studies to establish evidence-based guidelines for optimal management.&#13;
</p>
      </abstract>
      <kwd-group>
        <kwd>Delayed Splenic Rupture</kwd>
        <kwd> Splenic Injury</kwd>
        <kwd> Blunt Abdominal Injury</kwd>
        <kwd> Non-operative Management</kwd>
        <kwd> Surgical Intervention</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>