Abstract
<h2>Summary</h2> In the analysis of ten cases of traumatic rupture of the spleenamong the children in our hospitals and in the review of eighty reports of the same condition in the medical literature, the common diagnostic features have been local abdominal symptoms, shock, vomiting, and left shoulder pain. The frequency with which this last symptom has occurred in these children has demonstrated its diagnostic importance in the consideration of splenic damage whenever an accident involving the left side of the trunk has occurred. Various types of accidents, many of them casual in nature and not productive of much external evidence of severe trauma, caused rupture of the spleen. When the damage of the other organs had not been too great, removal of the ruptured spleen seemed to offer a favorable prognosis and did not cause any demonstrable effect in afterlife.
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