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Table 2 Reported cases of spontaneous rupture of malarial spleen since 1960

From: Spontaneous rupture of malarial spleen: two case reports and review of literature

    Long-term resident      
  Case   of malaria-endemic Malarial   Symptoms and Surgical  
Reference no. Route area stage Species signs therapy Outcome
[16] 1 Natural No Chronic P malariae Shock, Kehr's sign Splenectomy Lived
       LUQ tenderness   
[17] 2 Natural No Acute P vivax LUQ pain, Kehr's Splenectomy Lived
       sign   
[18] 3 Natural No Acute P falciparum No material No material Lived
[19] 4 Induced No Acute P vivax Fever, Kehr's sign Splenectomy Lived
       LUQ tenderness   
  5 Induced No Acute P vivax No material Splenectomy Lived
  6 Induced No Acute P vivax No material Splenectomy Lived
  7 Induced No Acute P vivax No material Splenectomy Lived
[20] 8 Natural No Acute P falciparum Kehr' sign Splenectomy Lived
       LUQ pain   
[21] 9 Natural No Acute P vivax Fever, back pain None Died
       severe shock   
[22] 10 Natural No Acute P vivax Fever, hypotension None Lived
       diffuse peritoneal   
       signs   
[23] 11 Natural No Acute P falciparum Hypotension, Kehr's Splenectomy Lived
       sign, diffuse   
       peritoneal signs   
[24] 12 Natural No Acute P falciparum Fever, LUQ pain Splenectomy Lived
[25] 13 Natural Yes Acute P vivax LUQ pain, Splenectomy Lived
       palpitations   
  14 Natural Yes Acute P vivax LUQ pain, fever Splenectomy Lived
[26] 15 Natural No Acute P malariae Fever, headache, None Lived
       LUQ pain   
* 16 Natural Yes Acute P vivax LUQ pain, fever Splenectomy Lived
* 17 Natural Yes Acute P vivax Fever, palpation, Splenectomy Lived
       fainting   
  1. LUQ, left upper quadrant. *Reported herein.