Case Report - Delayed presentation of a massive sub-capsular haematoma of the spleen

The spleen remains one of the most commonly injured organ in patients sustaining blunt abdominal trauma.¹ Splenic rupture may be acute (over 90%), delayed (approx.10%) or occult.² The occult rupture of the spleen, an extremely rare condition, refers to traumatic pseudocyst formation around the spleen, when the primary injury of the organ was not diagnosed and was overlooked. Later on, the patient presents with abdominal lump, pain or heaviness in the left upper abdomen. These patients are usually anaemic but characteristic acute features of splenic rupture are absent. Splenectomy cures the condition. We report one such case who presented with a large splenic haematoma.