Abstract

SIBON OLANO, A. et al. Two-stages splenic rupture. Cuad. med. forense [online]. 2013, vol.19, n.3-4, pp.115-118. ISSN 1988-611X.  https://dx.doi.org/10.4321/S1135-76062013000200008.

The case showed in this article is a forty five years old man who was founded dead at home suffering an aggression three days before, from what his neighbors told to police. Forensic inspection showed several head and limbs slight injuries without violence abdominal signs. Abdomen walls elasticity causes a fast traumatic force transmission to internal organs. This elasticity also explains serious internal injuries without external lesions. In case there exist certain anticipation, abdominal musculature contraction could lessen these injuries. Abdominal contusions could cause several damages types to internal organs. The most important are hepatic ruptures, and on the second place there are splenic ruptures. Abdominal injuries caused by closed traumatisms (without any connection between the peritoneal cavity and the outside), could stay latent for many hours, even days, appearing peritoneal irritation delayed symptoms.

Keywords : Abdominal traumatism; Splenic rupture; Haemoperitoneum.

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