Rupture of Normal Spleen
نویسنده
چکیده
gIR The case given below may interest your readers A 'railway loader, healthy young man, aged about 25, slipped his foot while unloading a truck containing rails, on the 22nd May last. The heavy rail he was unloading with the help of others fell on him. striking against the left side of the abdomen and the right thigh. He was picked up unconscious and sent at once to the Civil Hospital, where, on arrival, he was found dead. At the autopsy no external wound was found. There was a small bruise, about on the left flank, and another about 3"Xi" lower down the abdomen, a little above the left groin. In addition to these there were two bruises on the anterior aspect of the right thigh. Extravasation of blood was found in the muscles under the bruises. On opening the abdomen a large quantity of blood (about 5 lbs.) was found in the peritoneal cavity. The spleen, which occupied the normal space, presented a large irregular shaped rent on the external border extending to the posterior surface. It weighed 5ozs. None of the other viscera presented any mark of injury. AH of them looked healthy except that they presented an anaemic appearance. None of the ribs was found fractured.
منابع مشابه
گزارش یک مورد پارگی طحال بدون سابقه ضربه در خانم باردار در بیمارستان شهید اکبرآبادیRupture of the Spleen without any History of Trauma in a Pregnant Woman in Shahid Akbar Abadi Hospital: A Case Report
Atraumatic rupture of the spleen is an uncommon but important clinical entity. Unfortunately, the diagnosis is often missed due to the absence of any history of trauma. Atraumatic rupture of the spleen has been described in the medical literature as a clinical oddity with grave consequences, if it is unrecognised and untreated. Clinical features of splenic rupture include pain, tenderness a...
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Trivial trauma and delayed rupture of a normal spleen: a case report
INTRODUCTION Although a majority of splenic ruptures present acutely with a known mechanism of injury, a minority of patients present days to weeks following trauma with a delayed rupture. Also uncommon is the atraumatic rupture, the vast majority of which occur in patients with underlying splenic pathology. A handful of cases of apparently spontaneous rupture of a normal spleen are reported; h...
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Since Atkinson first described idiopathic rupture of a normal spleen in 1874, there has been controversy regarding the application of the terms "idiopathic" and "spontaneous". One such case is reported, and the validity of the description "idiopathic" or "spontaneous" discussed.
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