[Traumatic lesions of the spleen. Analysis of 35 cases].
A retrospective review of all the traumatic splenic ruptures from 1974 to 1988 was performed. Thirty-five patients were treated with splenectomy: 24 were males and 11 women. Teenagers and young adults were the most affected age groups. The mechanisms of injuries were: road accidents (78.8%), falls (12.1%), aggression, autoaggression and iatrogenic mishap (3%). Eighty per cent of the patients had associated injuries. Authors suggest a decisional algorithm to precise preoperative diagnosis and to treat the patients correctly. Mortality was 11.4% and primarily due to associated injuries.
Clinica Chirurgica II, Policlinico San Matteo (IRCCS), Facoltà di Medicina e Chirurgia, Università degli Studi di Pavia.
F
F
Cabano
E
E
Resta
C
C
Cebrelli
D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis; D000293:Adolescent; D000328:Adult; D000368:Aged; D000465:Algorithms; D003936:Diagnosis, Computer-Assisted; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013156:Splenectomy; D013161:Splenic Rupture / Q000150:complications / Q000601:surgery
Le lesioni traumatiche della milza. Analisi di 35 casi.