Moore P G, Gillies J G, James O F, Saltos N
Postgrad Med J. 1984 Feb;60(700):171-3. doi: 10.1136/pgmj.60.700.171.
Case reports of two patients with occult rupture of the spleen are presented. In one, blunt trauma appeared to involve only the neck and upper chest, resulting in two distinct tracheal injuries and no clinical indication of abdominal injury. On the 5th day after injury this patient strangulated an indirect inguinal hernia. At subsequent surgery, a ruptured spleen was also found. The second patient gave no history of trauma and presented in cardiac and respiratory failure after a 2-month illness characterized by abdominal pain. On clinical and biochemical assessments, he was considered to have pancreatitis complicated by pseudocyst formation. Laparotomy revealed intra-abdominal haemorrhage and a ruptured spleen. The diagnosis and complications of occult ruptured spleen are discussed.
本文报告了两例脾隐匿性破裂患者的病例。其中一例，钝性创伤似乎仅累及颈部和上胸部，导致两处不同的气管损伤，且无腹部损伤的临床迹象。受伤后第5天，该患者绞窄性腹股沟斜疝。在随后的手术中，也发现了破裂的脾脏。第二例患者无外伤史，在以腹痛为特征的2个月病程后出现心脏和呼吸衰竭。经临床和生化评估，他被认为患有胰腺炎并伴有假性囊肿形成。剖腹探查发现腹腔内出血和脾脏破裂。本文讨论了脾隐匿性破裂的诊断和并发症。
