[Delayed splenic rupture (author's transl)].
Splenic rupture is a common injury associated with blunt abdominal trauma. In contrast, delayed splenic rupture is less frequent and comprises about 8--28% of cases of splenic rupture. The symptom free period can last for days or weeks. The mechanism is explained as follows. A rupture of the parenchyma occurs but the spleen capsula remains intact. A hematoma forms below the capsule and causes a strong overdistension of the capsule so that a bursting and release of blood into the abdominal cavity results. The mortality rate with splenic ruptures in 6--55% and with delayed splenic ruptures 14.6%. Our experiences are reviewed. After commencement of the hemorrhage therapy must consist of treatment for shock and immediate laparotomy and splenectomy.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D012769:Shock / Q000209:etiology; D013154:Spleen / Q000293:injuries*; D013156:Splenectomy
Zweizeitige Milzruptur.