Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/23/2025

Splenic Rupture Causes and Clinical Implications

Traumatic Causes

  • Blunt abdominal trauma is the most common cause of splenic rupture, including motor vehicle accidents, falls from height, and direct blows to the left thorax or abdomen 1, 2

Clinical Implications

  • Delayed splenic rupture can occur 48 hours to several weeks after the initial trauma, with most cases happening between 4-10 days post-injury 3, 4
  • The mortality rate for delayed splenic rupture ranges from 5-15%, compared to 1% for acute rupture 3, 4