%0 Journal Article %T How should we manage a delayed presentation of blunt splenic injury? %A Laszlo M Hoesel %A Michael White %A Sunu Philip %J Trauma %@ 1477-0350 %D 2018 %R 10.1177/1460408617741151 %X A delayed presentation of a blunt splenic injury can refer to either an initially missed injury that manifests later with symptoms or latent insignificant injury that then becomes clinically symptomatic. This is a small patient group and there is some controversy about how these injuries should be managed. We present a case of a patient with an initially missed blunt splenic injury who represented two weeks later with hemorrhage and pain. He was treated non-operatively but returned with persistent symptoms and eventually required a difficult splenectomy. Through this case, we raise the question of whether patients who present with rebleeding in a delayed fashion from an initially missed blunt splenic injury are best treated with surgery and a splenectomy %K Blunt splenic injury %K splenectomy %K angioembolization %U https://journals.sagepub.com/doi/full/10.1177/1460408617741151