Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

A second look at delayed splenic rupture

W R Olsen, T Z Polley

    Archives of Surgery (Chicago, Ill. : 1960)
    |April 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Delayed splenic rupture is rare following blunt trauma. Most cases previously attributed to delayed rupture are likely due to delayed recognition of the initial splenic injury.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    The rôle of the liver in renal sulfonamide complications.

    The American journal of the medical sciences·2010
    Same author

    Specialty networking in pediatric surgery: a paradigm for the future of academic surgery.

    Annals of surgery·1999
    Same author

    Prenatal diagnosis of congenital cystic adenomatoid malformation and its postnatal presentation, surgical indications, and natural history.

    Journal of pediatric surgery·1999
    Same author

    The lateral approach for open splenectomy.

    Journal of pediatric surgery·1998
    Same author

    Use of abdominal ultrasonography to assess pediatric splenic trauma. Potential pitfalls in the diagnosis.

    Annals of surgery·1997
    Same author

    Effect of very delayed repair of congenital diaphragmatic hernia on survival and extracorporeal life support use.

    Surgery·1996
    Same journal

    The White Test: A New Dye Test for Intraoperative Detection of Bile Leakage During Major Liver Resection-Invited Critique.

    Archives of surgery (Chicago, Ill. : 1960)·2017
    Same journal

    Use of Vascular Clamping in Hepatic Surgery: Lessons Learned From 1260 Liver Resections-Invited Critique.

    Archives of surgery (Chicago, Ill. : 1960)·2017
    Same journal

    Randomized Clinical Trial of Small-Incision and Laparoscopic Cholecystectomy in Patients With Symptomatic Cholecystolithiasis: Primary and Clinical Outcomes-Invited Critique.

    Archives of surgery (Chicago, Ill. : 1960)·2017
    Same journal

    Liver Resection With a New Multiprobe Bipolar Radiofrequency Device-Invited Critique.

    Archives of surgery (Chicago, Ill. : 1960)·2017
    Same journal

    Porcine and Bovine Surgical Products: Jewish, Muslim, and Hindu Perspectives-Invited Critique.

    Archives of surgery (Chicago, Ill. : 1960)·2017
    Same journal

    Neuroendocrine Liver Metastasis: Transplant as Part of Multimodality Liver-Directed Therapy-Reply.

    Archives of surgery (Chicago, Ill. : 1960)·2016
    See all related articles

    Area of Science:

    • Trauma Surgery
    • Abdominal Trauma
    • Surgical Management

    Background:

    • Blunt splenic injuries are a common cause of morbidity and mortality.
    • The concept of delayed splenic rupture following trauma has been debated.
    • Accurate diagnosis is crucial for appropriate patient management.

    Purpose of the Study:

    • To investigate the incidence and characteristics of delayed splenic rupture after blunt trauma.
    • To differentiate between true delayed rupture and delayed recognition of splenic injury.
    • To inform clinical practice regarding the management of blunt splenic trauma.

    Main Methods:

    • Retrospective review of 314 patients undergoing splenectomy for blunt splenic injuries.
    • Analysis of operative timing and presenting symptoms.

    Related Experiment Videos

  • Evaluation of evidence for subcapsular hematoma and delayed rupture.

    • Main Results:

    • 314 patients treated with splenectomy for blunt splenic trauma between 1968-1976.
    • Most patients (304/314) were operated on within 24 hours.
    • Evidence for delayed rupture of a subcapsular hematoma was found in only 3 of 10 patients operated on after 24 hours.

    Conclusions:

    • Delayed rupture of the spleen is an uncommon complication of blunt splenic trauma.
    • The majority of cases suspected as delayed splenic rupture represent delayed diagnosis of the initial injury.
    • Clinical vigilance for prompt recognition of splenic injury is paramount.