The mortality from ruptured spleen, estimated at more than 75%, demands prompt diagnosis if effective surgery is to be employed.1 In a recent review of roentgenography of ruptured spleen, the diagnostic value of serial examinations was emphasized.2 The case reported herein exemplifies the accuracy of this procedure.
REPORT OF A CASE
J. M., a man aged 22, while playing baseball ran directly into another player, striking his left side against the other player's hip. The patient was winded and fell to the ground in shock. On his arrival at the hospital, a few minutes later, he was still in shock and received immediate treatment. At first the patient was pulseless, cyanotic, and semiconscious. His blood cell count revealed 3,800,000 red blood cells and 69% hemoglobin. His hematocrit was 31. It was not possible to obtain a blood pressure reading.Approximately one hour after admission the patient began to
Thomas G, Reinhart HA, Gershon-Cohen J. RUPTURED SPLEEN: DIAGNOSIS BY SERIAL X-RAY EXAMINATIONS. JAMA. 1952;149(2):143–144. doi:10.1001/jama.1952.72930190008009c
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: