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February 1984

Pathological Rupture of the Spleen Associated With Hepatitis A

Author Affiliations

From the Divisions of General Surgery (Drs Van Landingham and Roberts) and Gastroenterology (Dr Rawls), Scott and White Clinic, Scott and White Memorial Hospital, Scott, Sherwood & Brindley Foundation, Texas A & M University College of Medicine, Temple.

Arch Surg. 1984;119(2):224-225. doi:10.1001/archsurg.1984.01390140080014

• Spontaneous rupture of the spleen refers to rupture of a normal spleen in the absence of trauma. Atraumatic rupture of a diseased spleen is termed pathological rupture and has been described in a variety of pathological conditions. This report describes a case of pathological splenic rupture associated with hepatitis A confirmed by positive IgM antibodies. To the best of our knowledge, this case represents the sole verified example of this previously unrecognized life-threatening complication of hepatitis.

(Arch Surg 1984;119:224-225)