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Traumatic Rupture of the Spleen: An Analysis of Sixty-Eight Cases

Traumatic Rupture of the Spleen: An Analysis of Sixty-Eight Cases Abstract The literature on traumatic rupture of the spleen is replete with articles on this subject. It is not the purpose of this survey to encompass, to any extent, a review. We felt that a summation of 68 cases, occurring in the Albany Hospital, was worth while. Accordingly, all such cases were analyzed in a classical manner. During the years 1935-1958 inclusive there have been 61,445 cases admitted on the surgical services excluding those which were entered under the specialties. The 68 cases represented in this report account for 0.11%. Everyone agrees that the incidence of splenic wounding in blunt abdominal trauma amounts to almost 50%, and this is exclusive of splenic injury during elective procedures, such as hiatus hernia repair, etc. The high incidence of splenic lacerations among patients with abdominal injuries reflects the frequency of blunt trauma, especially that caused by automobile accidents. In our group the automobile as References 1. Scott, H. W., Jr., and Bowman, J. R.: Traumatic Rupture of the Spleen in Children , J.A.M.A. 130:270-273, 1946.Crossref 2. McIndoe, A. H.: Delayed Hemorrhage Following Traumatic Rupture of the Spleen , Brit. J. Surg. 20:249-268, 1932.Crossref 3. Johnson, N.: Traumatic Rupture of Spleen , Australian & New Zealand J. Surg. 24:112-124, 1954. 4. Terry, J. H.; Self, M. M., and Howard, J. M.: Injuries of the Spleen , Surgery 40:615-639, 1956. 5. Zabinski, E. J., and Harkins, H. N.: Delayed Splenic Rupture: A Clinical Syndrome Following Trauma , Arch. Surg. 46:186-213, 1943. 6. Wang, C. C., and Robbins, L. L.: Roentgenologic Diagnosis of Ruptured Spleen , New England J. Med. 254:445-449, 1956. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Traumatic Rupture of the Spleen: An Analysis of Sixty-Eight Cases

A.M.A. Archives Surgery , Volume 80 (6) – Jun 1, 1960

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1960.01290230131017
Publisher site
See Article on Publisher Site

Abstract

Abstract The literature on traumatic rupture of the spleen is replete with articles on this subject. It is not the purpose of this survey to encompass, to any extent, a review. We felt that a summation of 68 cases, occurring in the Albany Hospital, was worth while. Accordingly, all such cases were analyzed in a classical manner. During the years 1935-1958 inclusive there have been 61,445 cases admitted on the surgical services excluding those which were entered under the specialties. The 68 cases represented in this report account for 0.11%. Everyone agrees that the incidence of splenic wounding in blunt abdominal trauma amounts to almost 50%, and this is exclusive of splenic injury during elective procedures, such as hiatus hernia repair, etc. The high incidence of splenic lacerations among patients with abdominal injuries reflects the frequency of blunt trauma, especially that caused by automobile accidents. In our group the automobile as References 1. Scott, H. W., Jr., and Bowman, J. R.: Traumatic Rupture of the Spleen in Children , J.A.M.A. 130:270-273, 1946.Crossref 2. McIndoe, A. H.: Delayed Hemorrhage Following Traumatic Rupture of the Spleen , Brit. J. Surg. 20:249-268, 1932.Crossref 3. Johnson, N.: Traumatic Rupture of Spleen , Australian & New Zealand J. Surg. 24:112-124, 1954. 4. Terry, J. H.; Self, M. M., and Howard, J. M.: Injuries of the Spleen , Surgery 40:615-639, 1956. 5. Zabinski, E. J., and Harkins, H. N.: Delayed Splenic Rupture: A Clinical Syndrome Following Trauma , Arch. Surg. 46:186-213, 1943. 6. Wang, C. C., and Robbins, L. L.: Roentgenologic Diagnosis of Ruptured Spleen , New England J. Med. 254:445-449, 1956.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jun 1, 1960

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