[Skip to Content]
[Skip to Content Landing]
Article
May 23, 1977

Occult Splenic Rupture-Reply

JAMA. 1977;237(21):2289. doi:10.1001/jama.1977.03270480029012

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

We appreciate the recent rethinking of the incidence of delayed rupture of the spleen through the routine use of paracentesis. Despite the reduced incidence mentioned in Dr Fischer's letter, the mechanism by which a true delayed rupture occurs is a valid one. The dilemma of an occult rupture stems from the fact that hemorrhage is tamponaded and contained by adjacent stomach, bowel, and omentum—preventing free intraperitoneal bleeding; thus, it is not amenable to diagnosis by paracentesis.

×