Analysis of 5 cases of the misdiagnosis of spontaneous rupture of spleen

VernacularTitle:5例自发性脾破裂误诊分析
Author: Zhi YANG ; Yue WANG
Publication Type:Journal Article
From: Clinical Medicine of China 2001;17(3):235-236
CountryChina
Language:Chinese
Abstract: Objective To explore the causes of the misdiagnosis of spontaneous rupture of spleen.Methods 8 cases of spontaneous rupture of spleen during 1986～1998 were reviewed retrospectively.Results 5 cases were misdiagnosed, with the misdiagnosing rate of 62.5%.Conclusion For unknown upper bellyache accompanied with unexplainable loss of blood and with no history of trauma,the patients should be examined by B ultrasound or abdominal puncture should be peformed.If there is pathological process of liver and spleen such as schistosoma and hepatitis or the excessive functioning of spleen,the more attention should be paid to the occurrence of spontaneous rupture of spleen.Furthermore,the increase of the belly pressure caused by satiation or hard labour helps to diagnose such case.