Occult rupture of the spleen

Author:

McMahon M J1,Lintott J D2,Mair W S J1,Lee P W R1,Duthie J S34

Affiliation:

1. University Department of Surgery, General Infirmary, Leeds

2. Department of Radiology, General Infirmary, Leeds

3. Formerly General Infirmary, Leeds

4. now Oldham Royal Infirmary

Abstract

Abstract Five cases of occult or ‘spontaneous’ rupture of the spleen are described. Pathological examination of the spleen showed changes of infectious mononucleosis in 2 cases, Hodgkin's disease in 1, amyloidosis in 1 and in the remaining spleen no underlying disease process was seen. All 5 cases survived, and evidence from the literature suggests that this may have been in some measure due to the fact that prompt surgical treatment followed a correct preoperative diagnosis. The importance of awareness of the condition, radiological investigation and peritoneal lavage in reaching the correct diagnostic conclusion is discussed.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference8 articles.

1. An appraisal of peritoneal lavage in the diagnosis of the acute abdomen;Evans;Br. J. Surg.,1975

2. Beiträge zur Druckfestigkeit der menschlichen Milz bei stumpfen Krafteinwirkungen;Fazekas;Arch. Kriminologie,1972

3. Radiologic evaluation of splenic trauma;Gold;CRC Crit. Rev. Radiol. Sci.,1972

4. Spontaneous and pathologic rupture of the spleen;Hyun;Arch. Surg.,1972

5. The radiographic position of the spleen;Kreel;Br. J. Radiol.,1969

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