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Journal of the National Medical Association logoLink to Journal of the National Medical Association
letter
. 1984 Apr;76(4):345–349.

Ruptured Spleen as a Differential Diagnosis in Ruptured Tubal Pregnancy

Leroy R Weekes
PMCID: PMC2561678  PMID: 6737489

Abstract

Two cases of traumatic biphasic or secondary splenic rupture are presented to demonstrate the clinical picture of an entity the obstetrician-gynecologist will be encountering more commonly in the future. The signs and symptoms of this condition figured prominently in the differential diagnosis of ruptured tubal pregnancy.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BARNETT T. Rupture of the spleen in pregnancy; a review of recorded cases with a further case report. J Obstet Gynaecol Br Emp. 1952 Dec;59(6):795–802. doi: 10.1111/j.1471-0528.1952.tb14762.x. [DOI] [PubMed] [Google Scholar]
  2. BAYER S. Przypadek tzw. samoistnego pekniecia śledziony u ciezarnej. Pol Przegl Chir. 1956 Jan;28(1):83–85. [PubMed] [Google Scholar]
  3. Barcroft J., Stevens J. G. The effect of pregnancy and menstruation on the size of the spleen. J Physiol. 1928 Sep 18;66(1):32–36. doi: 10.1113/jphysiol.1928.sp002505. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Buchsbaum H. J. Splenic rupture in pregnancy. Report of a case and review of the literature. Obstet Gynecol Surv. 1967 Jun;22(3):381–395. [PubMed] [Google Scholar]
  5. Campbell J. S., Hacquebard S., Mitton D. M., Hurteau G. D., Bobra S. T., Sirois J. Acute hemoperitoneum, IUD, and occult ovarian pregnancy. Obstet Gynecol. 1974 Mar;43(3):438–442. [PubMed] [Google Scholar]
  6. Carmichael J. L., Williams D. B. Hemoperitoneum from erosion of ectopic endometrial tissue. South Med J. 1972 Mar;65(3):371–372. doi: 10.1097/00007611-197203000-00029. [DOI] [PubMed] [Google Scholar]
  7. Chaimoff C., Dintsman M., Goldman J. Rupture of the gallbladder in pregnancy with massive intraperitoneal hemorrhage. Int Surg. 1973 Oct;58(10):741–741. [PubMed] [Google Scholar]
  8. Civetta J. M., Nussenfeld S. R., Rowe T. R., Hirschman J. C., McCullough K. E., Nagel E. L., Kaplan B. H., Pettyjohn F. S. Prehospital use of the military anti-shock trouser (MAST). JACEP. 1976 Aug;5(8):581–587. doi: 10.1016/s0361-1124(76)80216-x. [DOI] [PubMed] [Google Scholar]
  9. Davis J. B., Schrenken J. R., Zimmerman O. Massive hemoperitoneum from rupture of benign hepatocellular adenoma. Surgery. 1973 Feb;73(2):181–184. [PubMed] [Google Scholar]
  10. Ellis G. F., Cantor B. Splenic rupture in pregnancy. Am J Obstet Gynecol. 1978 Sep 15;132(2):220–221. doi: 10.1016/0002-9378(78)90929-8. [DOI] [PubMed] [Google Scholar]
  11. HYNES H. E., SILVERSTEIN M. N., FAWCETT K. J. SPONTANEOUS RUPTURE OF THE SPLEEN IN ACUTE LEUKEMIA. REPORT OF 2 CASES. Cancer. 1964 Oct;17:1356–1360. doi: 10.1002/1097-0142(196410)17:10<1356::aid-cncr2820171018>3.0.co;2-2. [DOI] [PubMed] [Google Scholar]
  12. Hall M., 3rd, Marshall J. R. The gravity suit: a major advance in management of gynecologic blood loss. Obstet Gynecol. 1979 Feb;53(2):247–250. [PubMed] [Google Scholar]
  13. Holt S. Spontaneous rupture of a normal spleen diagnosed as ruptured ectopic pregnancy. Two case reports. Br J Obstet Gynaecol. 1982 Dec;89(12):1062–1063. doi: 10.1111/j.1471-0528.1982.tb04667.x. [DOI] [PubMed] [Google Scholar]
  14. Jordan G. L., Jr, Spjut H. J. Hemorrhagic pancreatitis. Arch Surg. 1972 Apr;104(4):489–493. doi: 10.1001/archsurg.1972.04180040103018. [DOI] [PubMed] [Google Scholar]
  15. MOLLEGAARD H. [Rupture of the spleen in pregnancy]. Nord Med. 1960 Jul 7;64:850–851. [PubMed] [Google Scholar]
  16. Manny J., Merin G., Rozin R. R., Freund U., Borman J. B. Ovarian hemorrhage complicating anticoagulant therapy. Obstet Gynecol. 1973 Apr;41(4):512–514. [PubMed] [Google Scholar]
  17. Menick F., Kim M. C., Drago S. Perforated appendix with abscess and massive hemoperitoneum. N Y State J Med. 1972 Jun 1;72(11):1286–1287. [PubMed] [Google Scholar]
  18. NELSON J. H., Jr, HALL J. E. STUDIES ON THE THYMOLYMPHATIC SYSTEM IN HUMANS. I. MORPHOLOGIC CHANGES IN LYMPH NODES IN PREGNANCY AT TERM. Am J Obstet Gynecol. 1964 Oct 15;90:482–484. doi: 10.1016/0002-9378(64)90806-3. [DOI] [PubMed] [Google Scholar]
  19. ORLOFF M. J., PESKIN G. W. Spontaneous rupture of the normal spleen; a surgical enigma. Int Abstr Surg. 1958 Jan;106(1):1–11. [PubMed] [Google Scholar]
  20. Palmer P. E. Massive retroperitoneal hemorrhage with unusual presentation. JAMA. 1974 Mar 25;227(12):1422–1422. [PubMed] [Google Scholar]
  21. SAAVEDRA R. A. SPONTANEOUS RUPTURE OF THE SPLEEN WITH SUBACUTE BACTERIAL ENDOCARDITIS. IMJ Ill Med J. 1965 Mar;127:279–281. [PubMed] [Google Scholar]
  22. SAIDI F., CONSTABLE J. D., ULFELDER H. Massive intraperitoneal hemorrhage due to uterine fibroids. Am J Obstet Gynecol. 1961 Aug;82:367–374. [PubMed] [Google Scholar]
  23. SCHAMAUN M. [Secondary traumatic splenic rupture]. Helv Chir Acta. 1962 Dec;29:560–575. [PubMed] [Google Scholar]
  24. de GRIBBLE M. G., BLAIR J. S. Haemoperitoneum complicating malignant disease. Br J Surg. 1962 Jan;49:432–435. [PubMed] [Google Scholar]

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