RUPTURED SPLEEN IN A MALARIOUS AREA: WITH EMPHASIS ON CONSERVATIVE MANAGEMENT IN BOTH ADULTS AND CHILDREN
- 1 June 1982
- journal article
- research article
- Published by Wiley in Anz Journal of Surgery
- Vol. 52 (3) , 310-313
- https://doi.org/10.1111/j.1445-2197.1982.tb05407.x
Abstract
Consecutive cases (62) of ruptured spleen occurring in a malarious area are reviewed; 19 died before treatment could be commenced. All patients who survived the initial hypotensive episode, and who were admitted recovered, whether managed operatively or nonoperatively. Spleens (26) were conserved and 17 were removed. One splenectomized patient is known to have died subsequently from cerebral malaria. Although 4 cases of delayed rupture were seen, no conservatively treated patient had a delayed hemorrhage. In malarious areas spleen removal should be avoided in both adults and children.This publication has 9 references indexed in Scilit:
- The overwhelming postsplenectomy sepsis problemWorld Journal of Surgery, 1980
- Splenic trauma—Nonoperative management and long-term follow-up by scintiscanJournal of Pediatric Surgery, 1978
- SPLENECTOMY AND SUBSEQUENT MORTALITY IN VETERANS OF THE 1939-45 WARThe Lancet, 1977
- Surgical Repair of a Ruptured Spleen in ChildrenArchives of Surgery, 1977
- THE NON‐OPERATIVE MANAGEMENT OF SPLENIC TRAUMAAnz Journal of Surgery, 1977
- Splenectomy: A Review of MorbidityAnz Journal of Surgery, 1976
- Malaria Fatalities in the United StatesThe American Journal of Tropical Medicine and Hygiene, 1974
- The conservative management of splenic traumaJournal of Pediatric Surgery, 1971
- Traumatic rupture of the normal spleenBritish Journal of Surgery, 1927