title: [Delayed rupture of the spleen].
abstract: From 1964 to 1974 14 patients affected with a delayed rupture of the spleen, were operated in the Surgical Clinic of the University of Mainz. 12 of these 14 patients had a polytrauma. Head-, brain- and thorax injuries were prevalent. Because of the risk of a delayed spleen rupture each blunt trauma has to be  hospitalized and observed under clinical conditions. In unconscious patients and in all doubtful cases a peritoneal lavage should be done. If a spleen rupture is caused by an intraabdominal bleeding, Splenectomy is the therapy of choice as further complications can be avoided by this measure.
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000368:Aged; D001265:Athletic Injuries / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010537:Peritoneum; D011300:Preoperative Care; D013161:Splenic Rupture / Q000601:surgery*; D007507:Therapeutic Irrigation; D013997:Time Factors; D014947:Wounds and Injuries / Q000150:complications
vernacular_title: Zweizeitige Milzruptur