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Renato H. Rojas, MD; Richard Lange, MD
Ridgewood, NJ

JAMA. 1970;213(4):627.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

This complication of splenic infarction has not to our knowledge been previously documented or its preoperative diagnosis established. It is an indication for surgical treatment in a circulatory disturbance that is otherwise managed medically.

Report of a Case.—

A 68-year-old man (VH 73082) consulted his physician because of mild to moderate, intermittent, pain in the left upper quadrant and flank for the previous few weeks. Results of physical examination were within normal limits for the age except for a inguinal hernia on the right side and a mild systolic aortic murmur. Findings from laboratory and roentgenologic tests were normal with the exception of slight decrease in albumin and increase in alkaline phosphatase levels.

While in the hospital, the patient reported one morning that the hernia was no longer reducible. Examination showed it to be incarcerated, although relatively painless. Herniorrhaphy was performed. A gush of noncoagulating red blood . . . [Full Text PDF of this Article]

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