RUPTURE of the spleen is not an unusual occurrence, the spleen being a frequently injured abdominal organ, together with the other friable abdominal organs, the liver and the kidneys. Of the hollow viscus group, the urinary bladder, the ileum, the stomach, and the duodenum are at times ruptured. Association of ruptured stomach with a ruptured spleen would not seem unusual; however, few cases of this nature secondary to nonpenetrating wounds of the abdomen have been reported. To our knowledge, no cases of ruptured stomach, spleen, and diaphragm have been reported.
In 1896, Petry collected 219 cases of rupture of the gastrointestinal tract, and in this group there were only 13 cases of rupture of the stomach. Sherren reported five cases of rupture of the stomach in a review of 270 severe abdominal contusions. In 1929, Glassman reviewed the literature and collected 52 cases, to which he added two
SWARTZBACH S, CURTIN JE. RUPTURE OF STOMACH, SPLEEN, AND LEFT HEMIDIAPHRAGM. AMA Am J Dis Child. 1954;87(5):616–620. doi:10.1001/archpedi.1954.02050090604012