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Article
November 1, 1902

TRAUMATIC RUPTURE OF THE ABDOMINAL VISCERA WITHOUT EXTERNAL SIGNS OF INJURY.

JAMA. 1902;XXXIX(18):1091-1097. doi:10.1001/jama.1902.52480440011001c
Abstract

PROGNOSIS.  Until 1890, when laparotomy first was systematically employed as a means of treatment in this class of injuries, the mortality was a very high one. In 1887 Edler collected 96 cases (uncomplicated) of rupture of the liver, of which 21, or 21.8 per cent., recovered and 75, or 78 per cent., died. Of rupture of the spleen (uncomplicated) only 8 recovered spontaneously, or 15.8 per cent., and 44, or 84.6 per cent., died. Of ruptures of the kidney (uncomplicated) there were 55 cases, of which 36, or 65 per cent., recovered and 19, or 35 per cent., died. Since laparotomy was not performed in any case the recoveries must be regarded as spontaneous ones. In 1896 Petry collected 160 ruptures of the intestine, of which 149, or 93 per cent., died and 11, or 7 per cent., recovered. He also collected 23 perforations of the stomach due to subcutaneous

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