Abstract
In some 14% of patients with a ruptured spleen, the onset of the hemorrhage is delayed days or weeks after the initial injury. This syndrome is of clinical significance, for the patient may later present with a variety of confusing signs and symptoms. Four patients presented with this syndrome and exhibited a mass in the left upper abdominal quadrant, variable anemia, bone marrow findings of erythroid hyperplasia, and absent iron stores, ahaptoglobinemia, abnormal radioisotope spleen scans, and x-ray films of the abdomen.
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