Delayed splenic rupture in a haemophiliac

We report an unusual case of post-traumatic delayed rupture of the spleen o ccurring in a 38-year-old man with haemophilia A. The time interval between injury and splenic rupture was at least 2 weeks. Although a rare event, th e possibility of splenic rupture should always be considered in the differe ntial diagnosis in patients with a bleeding disorder and abdominal pain, ev en when the patient does not initially give a history of abdominal injury. Radiological imaging, including ultrasound examination, is of great value i n establishing the diagnosis. This case report includes a brief review of o ther similar cases.