Spontaneous Splenic Rupture

  • Stephen E. Goldstone
  • Michael S. Gold

Abstract

The first known description of spontaneous splenic rupture was by Rokitansky, who described the spontaneous rupture of a leukemic spleen in 1861.1 This condition, known as spontaneous splenic rupture, has been described most commonly as occurring in patients with infectious diseases, e.g., malaria and infectious mononucleosis. It has also been described as occurring with many other disease states, however, including endocarditis, typhoid fever, tuberculosis, influenza, and sarcoidosis,2 as well as in amyloidosis and normal spleens.3 As you will see, spontaneous splenic rupture is also well described in many malignant disease processes.

Keywords

Chronic Lymphocytic Leukemia Typhoid Fever Peritoneal Lavage Hairy Cell Leukemia Spontaneous Rupture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Rokitansky, cited in Hammesfahr: Spontanruptur einer leukämischer Milz. Zentralbi Chir 50: 1634 - 1635, 1923.Google Scholar
  2. 2.
    Dobrow RB: Spontaneous (pathologic) rupture of the spleen in previously undiagnosed Hodgkin’s disease. Cancer 39: 354 - 358, 1977.PubMedCrossRefGoogle Scholar
  3. 3.
    McMahon MJ, Lintott JD, Mair WSJ, Lee PWR, Dutchie JS: Occult rupture of the spleen. Br J Surg 64: 641 - 643, 1977.PubMedCrossRefGoogle Scholar
  4. 4.
    Karahousis CP, Elias EG: Spontaneous (pathologic) rupture of spleen in malignancies. Surgery 76: 674 - 677, 1974.Google Scholar
  5. 5.
    Saba HI, Garcia W, Hartmann RC: Spontaneous rupture of the spleen: An unusual presenting feature in Hodgkin’s lymphoma. South Med J 76: 247 - 249, 1983.PubMedCrossRefGoogle Scholar
  6. 6.
    Andrews DF, Hernandez R, Grafton W, Williams DM: Pathologic rupture of the spleen in non-Hodgkin’s lymphoma. Arch Intern Med 140: 119 - 120, 1980.PubMedCrossRefGoogle Scholar
  7. 7.
    Berrebi A, Bustan A, Mashiah A, Hurwitz N: Splenic rupture as a presenting sign of lymphoma of the spleen. Isr J Med Sci 20: 66 - 67, 1984.PubMedGoogle Scholar
  8. 8.
    Wallace JC: Diagnosis of splenic rupture in malignant lymphoma using radionuclides. Clin Nuclear Med 10: 7 - 8, 1985.CrossRefGoogle Scholar
  9. 9.
    Mikulin T: A case of ruptured spleen in chronic lymphatic leukemia. Br J Clin Pract 32: 200, 1978.PubMedGoogle Scholar
  10. 10.
    Soorya DT, Ravindranath Y, Philippart A: Spontaneous splenic rupture in acute lymphoblastic leukemia: Successful non-operative management. Am J Dis Child 134: 201 - 202, 1980.PubMedGoogle Scholar
  11. 11.
    Stites TB, Ultmann JE: Spontaneous rupture of the spleen in chronic lymphocytic leukemia. Cancer 19: 1587 - 1590, 1966.PubMedCrossRefGoogle Scholar
  12. 12.
    Amir J, Chaimov C, Pinkhas J, DeVries A: Spontaneous splenic rupture in myeloid metaplasia. Isr J Med Sci 6: 658 - 659, 1970.PubMedGoogle Scholar
  13. 13.
    Keidan AJ, Lui Yin JA, Gordon-Smith EC: Uncommon complications of hairy cell leukemia. Br J Haematol 57: 176 - 177, 1984.PubMedGoogle Scholar
  14. 14.
    Yam LT, Crosby WH: Spontaneous rupture of spleen in leukemic reticuloendotheliosis. Am J Surg 137: 270 - 273, 1979.PubMedCrossRefGoogle Scholar
  15. 15.
    Goldstein HS: Spontaneous rupture of the spleen secondary to metastatic carcinoma. South Med J 59: 261 - 267, 1966.PubMedCrossRefGoogle Scholar
  16. 16.
    Rydell WB, Ellis R: Spontaneous rupture of the spleen from metastatic carcinoma. J Am Med Assoc 240: 53 - 54, 1978.CrossRefGoogle Scholar
  17. 17.
    Horie Y, Suou T, Hirayama C, Nagasako R: Spontaneous rupture of the spleen secondary to metastatic hepatocellular carcinoma: A report of a case and review of the literature. Am J Gastroenterol 77: 882 - 884, 1092.Google Scholar
  18. 18.
    Tartaglia AP, Scharfman WB, Propp S: Splenic rupture in leukemia. N Engl J Med 267: 31, 1962.PubMedCrossRefGoogle Scholar
  19. 19.
    Douglas GJ, Simpson JS: The conservative management of splenic trauma. J Pediatr Surg 6: 565 - 569, 1971.PubMedCrossRefGoogle Scholar
  20. 20.
    Thomson WHF: Diffuse lymphocytic lymphoma with splenic rupture. Postgrad Med J 45: 5051, 1969.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1987

Authors and Affiliations

  • Stephen E. Goldstone
    • 1
  • Michael S. Gold
    • 2
    • 3
  1. 1.Albert Einstein College of Medicine/Montefiore Medical CenterBronxUSA
  2. 2.Mary Imogene Bassett HospitalCooperstownUSA
  3. 3.Columbia University College of Physicians and SurgeonsNew YorkUSA

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