Splenic injury is the most common abdominal organ injury in children who su
stain blunt trauma and may result from apparently minor injuries. We presen
t two cases of delayed diagnosis of splenic injury in children who fell fro
m a moderate height of less than 10 feet. Careful physical examination and
close follow-up with reevaluation are necessary to identify children with p
ossible splenic injury after relatively minor blunt trauma.