Splenic rupture from Baseball Sport accident: a case study

A case of Splenic rupture from Baseball Sport accident has been reported by Naoya Kobayashi which has been published in BMC Surgery.

According to history, a  41-year-old male was hit by a pitch (HBP) in the left abdomen during his first at-bat baseball game.He was standing close to the batter's box and the pitcher who attempted to throw an inside pitch. The ball struck the patient and fell to the ground. He continued, but when swinging at his second at-bat (he hit a ground ball), he experienced abdominal discomfort and had to leave the game.

He was taken to a nearby hospital, where abdominal computed tomography (CT) revealed a splenic injury. He was pale but alert after being transferred to the emergency and critical care center, and he was receiving intravenous fluids. The vital signs were stable, but the systolic blood pressure was low (80 mmHg). The injured area was bruised, but there was no underlying rib fracture. Contrast-enhanced CT revealed traumatic splenic injury and intra-abdominal hemorrhage. Following that, an emergency laparotomy was performed. During the operation, hemorrhagic ascites was observed, and approximately 2300 mL of blood was aspirated. Abdominal exploration revealed a 4-cm tear in the inferior extremity's splenic capsule (medial spleen) and active hemorrhage near the splenic hilum. Further investigation revealed vascular injury to the hilum as well as a deeply extending parenchymal injury.