Chylous Peritonitis with Small Bowel Obstruction

discussion: This case highlights the delay with which an iatrogenic splenic injury can present. The most important indicator in this case, which could relate to splenic injury, was a scar near the splenic region following lung biopsy. Clinical problems after splenic rupture have been classified into three groups characterized by the delay in presentation and type of symptoms. Group one: acute ruptured spleen, Group two: delayed ruptured spleen, and Group three: occult ruptured spleen. Our case was group two, with delayed presentation two months after injury.