Delayed Splenic Rupture in an Adolescent Patient: Organ-Sparing Laparoscopic Surgery – A Successful Clinical Case Presentation

Abstract

Delayed splenic rupture (DSR) is a rare but potentially life-threatening traumatic complication. This presentation discusses a case of DSR in a 15-year-old adolescent who developed the condition one week after sustaining blunt abdominal trauma while riding a jet ski. The patient presented to our clinic with abdominal pain, nausea, and vomiting. Imaging studies revealed extensive intra- abdominal hemorrhage. Emergency diagnostic laparoscopy identified active bleeding at the gastrosplenic and splenocolic ligaments, which was successfully controlled through localized coagulation, preserving the spleen. The laparoscopic procedure was completed without complications, and the patient recovered uneventfully. This case underscores the importance of high clinical suspicion, timely diagnostic intervention, and an organ-sparing approach by an experienced surgeon in managing delayed splenic ruptures. The application of a multidisciplinary team approach and minimal invasive techniques facilitate positive outcomes in such cases.