Rupture of the spleen. An analysis of 421 cases.
A detailed analysis of a prospective series of 421 patients with rupture of the spleen, who all underwent laparotomy, is presented. Delayed rupture occurred in 8% of cases. In 37% of patients with blunt injury there were additional intraperitoneal injuries that required laparotomy, and also in 79% with penetrating injury. Fifty per cent of patients with blunt trauma had chest injuries; 18% of ruptured spleens were sutured. Only 3 patients died from haemorrhage due to splenic injury--less than 1%.
Wilkinson
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D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013161:Splenic Rupture / Q000628:therapy*; D014949:Wounds, Nonpenetrating / Q000628:therapy; D014950:Wounds, Penetrating / Q000628:therapy