Delayed splenic rupture following video-assisted thoracoscopic left upper lobectomy: a case report and literature review - Takeaways - MDSpire

Delayed splenic rupture following video-assisted thoracoscopic left upper lobectomy: a case report and literature review

  • By

  • Wei Li

  • Huawen Hu

  • Zhuang Cheng

  • Erping Xi

  • June 17, 2026

  • 0 min

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  • 1

    Delayed splenic rupture (DSR) can occur after video-assisted thoracoscopic surgery (VATS) for lung cancer, presenting a significant risk.

  • 2

    A 70-year-old male developed DSR on postoperative day 6 after VATS left upper lobectomy, presenting with hypotension and tachycardia.

  • 3

    Diagnosis of DSR was confirmed through bedside ultrasonography and diagnostic peritoneal paracentesis, leading to emergency splenectomy.

  • 4

    Common causes of DSR include intraoperative transdiaphragmatic injury and postoperative diaphragmatic traction due to adhesions.

  • 5

    Meticulous surgical technique and vigilant postoperative monitoring are essential to prevent DSR and ensure optimal patient outcomes.

Original Source(s)

Delayed splenic rupture following video-assisted thoracoscopic left upper lobectomy: a case report and literature review

  • by Wei Li, Huawen Hu, Zhuang Cheng, Erping Xi

  • June 17, 2026

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