Delayed haemorrhage from the ruptured spleen

Abstract

Abstract Delayed haemorrhage from a ruptured spleen is a not uncommon syndrome, and it may well be encountered more frequently in the future. The condition has a higher mortality than simple uncomplicated rupture of the spleen, and this is believed to be due to difficulty and subsequent delay in making a diagnosis. Three cases are reported which illustrate many of the important features of delayed haemorrhage. The diagnosis of delayed haemorrhage is discussed, with particular reference to the importance of shoulder pain (Kehr's sign).