Table 3.
Comparison of splenic infarction and splenic rupture in clinical presentation and outcome*
| Splenic infarction (N = 35)† | Splenic rupture (N = 53)‡ | Mixed splenic infarction and splenic rupture (N = 5) | |
|---|---|---|---|
| Clinical findings | |||
| LUQ pain or diffuse abdominal tenderness | 19/19 (100%) | 23/52 (44%) | 5/5 (100%) |
| Fever | 21/21 (100%) | 36/52 (69%) | 5/5 (100%) |
| Splenomegaly | 20/20 (100%) | 20/52 (38%) | 5/5 (100%) |
| Median time from fever onset to splenic complications (no. of days, range) | 9 (5–90)§ | 5 (0–37) | 5 (3–11) |
| Management | |||
| Only medical treatment | 34 (97%) | 13 (24%) | 4 (75%) |
| Medical treatment with splenectomy | 1 (3%) | 3 (6%) | 1 (25%) |
| Only splenectomy | 0 | 29 (55%) | 0 |
| None | 0 | 8 (15%) | 0 |
| Death | 1 (3%) | 12 (23%) | 0 |
*
The denominator indicates the available number.
†
The number except for 5 cases45,48,57,60,61 with splenic infarction and splenic rupture from a total of 40 patients.
‡
The number except for 2 cases45,60 with splenic infarction and splenic rupture from total 55 patients; see Reference 12.
§
Available in 19 cases.
LUQ = left lower quadrant.