Blunt abdominal trauma with delayed rupture of splenic haematoma in a haemophiliac patient

A 13-year-old haemophilia A patient presented with pain in the abdomen, 4 d ays after a blunt abdominal trauma. The computed tomography scan of the abd omen showed a large splenic haematoma. The patient was initially managed wi th factor VIII replacement therapy, but 4 weeks later he had a delayed rupt ure of the splenic haematoma with haemoperitoneum and shock. An elective sp lenectomy under factor VIII therapy was successfully performed.