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RUPTURE OF THE SPLEEN.

JAMA. 1899;XXXII(4):188. doi:10.1001/jama.1899.02450310036007.
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Savor1 describes the case of a thirty-one-year-old woman, who, while in her fifth pregnancy, was stepped upon several times in the left side of the abdomen, by a drunken man. Two hours later she was brought to the clinic, and as there were no specially urgent symptoms discovered, absolute rest was ordered. Fifteen hours later there had appeared some dulness in the left flank, and a couple of hours still later anemia appeared to be developing rapidly, while the dulness in the left flank had increased. These symptoms led to the diagnosis of hemorrhage, due to the rupture of some internal organ, and an operation was immediately undertaken. There was found much blood in the peritoneal cavity, and a long tear in the anterior surface of the spleen, filled with coagulated blood. The spleen was then extirpated, and complete recovery ensued, a healthy child being eventually born. The extirpated

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