title: Ruptured spleen in the adult: an account of 205 cases with particular reference to non-operative management. Papua New Guinea Splenic Injury Study Group.
abstract: A series of 205 ruptured adult spleens, half of them due to personal assault, has been collected from several hospitals. In some of these cases a trial of non-operative management has become standard practice unless other abdominal injuries are suspected. One hundred and thirty-seven cases were managed this way initially, successfully so in 80%. Splenectomy was performed in 70 patients with eight deaths; three of them in the 27 instances where non-operative management was said to have failed. None of these eight deaths was due to operative delay.
mesh_terms: D000328:Adult; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D010219:Papua New Guinea; D011379:Prognosis; D013156:Splenectomy / Q000009:adverse effects / Q000639:trends; D013161:Splenic Rupture / Q000150:complications / Q000601:surgery / Q000628:therapy*