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Traumatic spleen rupture diagnosed during postmortem dissection: A STROBE-compliant retrospective study
Dmitrij Fomin1, Sigitas Chmieliauskas, Vidas Petrauskas
1Department of Pathology, Forensic Medicine and Pharmacology, Institute of Biomedical Sciences of the Faculty of Medicine of Vilnius University, Vilnius, Lithuania.
Medicine
|October 3, 2019
Summary
Blunt abdominal trauma frequently causes spleen injuries. This study analyzed isolated traumatic spleen ruptures, finding acute ruptures were more common than subacute ones, with significant differences in spleen weight.
Area of Science:
- Forensic Pathology
- Trauma Surgery
- Abdominal Imaging
Background:
- Spleen injuries account for 42% of blunt abdominal trauma.
- Isolated traumatic spleen rupture is a significant cause of mortality.
- Understanding rupture dynamics is crucial for diagnosis and treatment.
Purpose of the Study:
- To retrospectively assess cases of acute and subacute isolated traumatic spleen ruptures.
- To analyze morphological characteristics, including spleen weight, in traumatic spleen ruptures.
- To highlight the importance of spleen rupture assessment in forensic and clinical settings.
Main Methods:
- Retrospective analysis of 50 deceased patients with isolated spleen rupture.
- Classification of spleen ruptures into acute and subacute categories.
- Morphological assessment, focusing on spleen weight, compared to a control group.
Main Results:
- 47 cases of acute spleen rupture and 3 cases of subacute spleen rupture were identified.
- Mean spleen weight in acute rupture cases was 309.6g.
- Mean spleen weight in subacute rupture cases was 710g, significantly higher than the control group's 144.7g.
Conclusions:
- Acute spleen ruptures are more prevalent than subacute ruptures in isolated traumatic cases.
- Subacute spleen ruptures are associated with significantly increased spleen weight compared to acute ruptures and controls.
- Morphological assessment of spleen weight is valuable in forensic pathology and clinical practice for evaluating traumatic spleen injuries.
