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June 1960

Traumatic Rupture of the Spleen: An Analysis of Sixty-Eight Cases

Author Affiliations

Albany, N.Y.
From the Department of Surgery, Albany Medical College and Albany Hospital.

AMA Arch Surg. 1960;80(6):1013-1018. doi:10.1001/archsurg.1960.01290230131017

The literature on traumatic rupture of the spleen is replete with articles on this subject. It is not the purpose of this survey to encompass, to any extent, a review.

We felt that a summation of 68 cases, occurring in the Albany Hospital, was worth while. Accordingly, all such cases were analyzed in a classical manner. During the years 1935-1958 inclusive there have been 61,445 cases admitted on the surgical services excluding those which were entered under the specialties. The 68 cases represented in this report account for 0.11%.

Everyone agrees that the incidence of splenic wounding in blunt abdominal trauma amounts to almost 50%, and this is exclusive of splenic injury during elective procedures, such as hiatus hernia repair, etc. The high incidence of splenic lacerations among patients with abdominal injuries reflects the frequency of blunt trauma, especially that caused by automobile accidents. In our group the automobile as

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