Calcified splenic hematoma presenting as a pelvic mass.

The spleen is the most vulnerable visceral organ involved in blunt abdominal trauma; 40% to 70% of patients with blunt splenic laceration can be managed with nonsurgical methods. A majority of hematomas of the spleen can heal and be absorbed within 2 to 3 months; through an unknown mechanism in an unusual condition, the hematoma may organize and eventually calcify. Herein, we report on a senile female with blunt abdominal trauma 6 years previous, who turned out to have a calcified splenic hematoma with clinical presentations of a palpable pelvic mass and intestinal obstruction. A total splenectomy, including the calcified mass, was performed. She experienced great clinical improvement postoperatively. She was uneventfully discharged 1 week later.