Abstract
Case reports of two patients with occult rupture of the spleen are presented. In one, blunt trauma appeared to involve only the neck and upper chest, resulting in two distinct tracheal injuries and no clinical indication of abdominal injury. On the 5th day after injury this patient strangulated an indirect inguinal hernia. At subsequent surgery, a ruptured spleen was also found. The second patient gave no history of trauma and presented in cardiac and respiratory failure after a 2-month illness characterized by abdominal pain. On clinical and biochemical assessments, he was considered to have pancreatitis complicated by pseudocyst formation. Laparotomy revealed intra-abdominal haemorrhage and a ruptured spleen. The diagnosis and complications of occult ruptured spleen are discussed.
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Selected References
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- Daoud F. S., Fischer D. C., Hafner C. D. Complications following splenectomy with special emphasis on drainage. Arch Surg. 1966 Jan;92(1):32–34. doi: 10.1001/archsurg.1966.01320190034007. [DOI] [PubMed] [Google Scholar]
- DiVincenti F. C., Rives J. D., Laborde E. J., Fleming I. D., Cohn I., Jr Blunt abdominal trauma. J Trauma. 1968 Nov;8(6):1004–1013. doi: 10.1097/00005373-196811000-00002. [DOI] [PubMed] [Google Scholar]
- Frey C. F., Ernst C., Lindenauer S. M., Bartlett J., Bookstein J. Use of arteriography in the diagnosis of occult gastrointestinal and traumatic intra-abdominal hemorrhage. Am J Surg. 1967 Jan;113(1):137–148. doi: 10.1016/0002-9610(67)90267-x. [DOI] [PubMed] [Google Scholar]
- Lim R. C., Jr, Glickman M. G., Hunt T. K. Angiography in patients with blunt trauma to the chest and abdomen. Surg Clin North Am. 1972 Jun;52(3):551–565. doi: 10.1016/s0039-6109(16)39731-6. [DOI] [PubMed] [Google Scholar]
- Naylor R., Coln D., Shires G. T. Morbidity and mortality from injuries to the spleen. J Trauma. 1974 Sep;14(9):773–778. doi: 10.1097/00005373-197409000-00006. [DOI] [PubMed] [Google Scholar]
- Polk H. C., Jr, Shields C. L. Remote organ failure: a valid sign of occult intra-abdominal infection. Surgery. 1977 Mar;81(3):310–313. [PubMed] [Google Scholar]
- ROOT H. D., HAUSER C. W., MCKINLEY C. R., LAFAVE J. W., MENDIOLA R. P., Jr DIAGNOSTIC PERITONEAL LAVAGE. Surgery. 1965 May;57:633–637. [PubMed] [Google Scholar]
- Veith F. J., Webber W. B., Karl R. C., Deysine M. Diagnostic peritoneal lavage in acute abdominal disease: normal findings and evaluation in 100 patients. Ann Surg. 1967 Aug;166(2):290–295. doi: 10.1097/00000658-196708000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]