Kiev J, Rothenberg B, Nance F C
Department of Surgery, St. Barnabas Medical Center, Livingston, New Jersey 07039.
Am Surg. 1991 Nov;57(11):727-9.
Splenic rupture in blunt and penetrating trauma is well documented. Other etiologies include hematologic and inflammatory disorders. The case presented documents occult splenic rupture. There was no history of trauma. Furthermore, no evidence of systemic disease or pathology could be found. Occult, spontaneous splenic rupture is rarely diagnosed, although the associated mortality/morbidity is high. The astute clinician must have a high index of suspicion relying on clinical and roentgenographic study for rapid diagnosis and management.
钝性和穿透性创伤导致的脾破裂已有充分记载。其他病因包括血液系统和炎症性疾病。本文所呈现的病例记录了隐匿性脾破裂。患者无外伤史。此外，未发现全身性疾病或病理证据。隐匿性自发性脾破裂很少被诊断出来，尽管其相关的死亡率/发病率很高。敏锐的临床医生必须高度怀疑，依靠临床和影像学检查进行快速诊断和处理。
