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Benjamin F. Byrd Jr., M.D.; Orrie A. Couch Jr., M.D.
JAMA. 1955;157(13):1112-1113. doi:10.1001/jama.1955.02950300040008a.
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Rupture of the spleen without apparent cause is a relatively unusual condition, only a few cases having been reported prior to this time. The following case is presented as a spontaneous rupture of the spleen; however, we feel that in this instance the predisposing conditions can be adequately explained.


A 42-year-old white woman was admitted on the medical service of Vanderbilt University Hospital on March 15, 1954, seven hours after the sudden onset of severe left upper abdominal pain with associated tenderness. The pain was intermittent, was of gradually increasing intensity, and was described as cramping in character. There had been a similar episode of pain 10 days prior to admission, but this had subsided spontaneously after four or five hours. The patient's past history was not remarkable except for the fact that over a period of two and one-half years she had had repeated episodes


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