Gibbs T J, Sells R A, Bellingham A J
Postgrad Med J. 1977 Jul;53(621):403-5. doi: 10.1136/pgmj.53.621.403.
Traumatic rupture of the spleen is a well known problem, complicating many types of abdominal injury. In contrast, a spontaneous rupture is a rare occurrence, mainly associated with a large spleen resulting from infections, the most common in this country being infectious mononucleosis. It is also a rare complication of leukaemias and lymphomas and the case presented here demonstrates a peculiar diagnostic problem.
脾脏外伤性破裂是一个众所周知的问题，会使多种腹部损伤变得复杂。相比之下，自发性破裂则较为罕见，主要与感染导致的脾脏肿大有关，在我国最常见的是传染性单核细胞增多症。它也是白血病和淋巴瘤的罕见并发症，本文所呈现的病例展示了一个特殊的诊断问题。
