scholarly journals Clinical presentation and management of atraumatic splenic rupture

2018 ◽  
Vol 6 (11) ◽  
pp. 2279-2280
Author(s):  
Alain N. Sahin ◽  
Frank Schwenter ◽  
Herawaty Sebajang
Keyword(s):  
Clinical Presentation ◽  
Splenic Rupture ◽  
Atraumatic Splenic Rupture

Authors' reply: Systematic review of atraumatic splenic rupture (Br J Surg 2009; 96: 1114-1121)

2010 ◽  
Vol 97 (4) ◽  
pp. 616-617 ◽  
Author(s):  
P. Renzulli ◽  
A. Hostettler ◽  
A. M. Schoepfer ◽  
B. Gloor ◽  
D. Candinas
Keyword(s):  
Systematic Review ◽  
Splenic Rupture ◽  
Atraumatic Splenic Rupture

scholarly journals Atraumatic splenic rupture precipitated by splenic vein thrombosis

2016 ◽  
Vol 11 (2) ◽  
pp. 86-89 ◽  
Author(s):  
Qiao Zhou ◽  
Chirag Shah ◽  
Jean-Michel Arthus ◽  
Harlan Vingan ◽  
John Agola
Keyword(s):  
Splenic Rupture ◽  
Splenic Vein ◽  
Splenic Vein Thrombosis ◽  
Vein Thrombosis ◽  
Atraumatic Splenic Rupture

Splenic Rupture: A Rare Presentation of Pancreatic Carcinoma

2004 ◽  
Vol 128 (10) ◽  
pp. 1146-1150
Author(s):  
Wendy M. Smith ◽  
Joel G. Lucas ◽  
Wendy L. Frankel
Keyword(s):  
Pancreatic Cancer ◽  
Pancreatic Carcinoma ◽  
Literature Search ◽  
Splenic Rupture ◽  
Rare Presentation ◽  
Solid Malignancy ◽  
Cancer Of The Pancreas ◽  
Underlying Malignancy ◽  
Atraumatic Splenic Rupture ◽  
Adenocarcinoma Of The Pancreas

Abstract Context.—Splenic rupture secondary to solid malignancy is an infrequent complication that usually occurs late in the progression of a previously diagnosed cancer. In rare instances, splenic rupture precipitates the discovery of an unsuspected pancreatic carcinoma. We report 2 cases of adenocarcinoma of the pancreas in which the patients presented with splenic rupture. Objectives.—To review the clinicopathologic features of splenic rupture due to pancreatic carcinoma and to increase awareness of malignancy as a possible etiology for atraumatic splenic rupture. Design.—We reviewed the clinical and pathologic data from 2 patients. A literature search was conducted to identify previous reports of splenic rupture associated with pancreatic cancer. We summarized the characteristics of the earlier cases and compared them with those of our patients. Results.—We found only 4 previous reports of splenic rupture preceding the diagnosis of pancreatic cancer. In 3 of these cases, the pancreatic carcinoma grossly invaded the spleen at the time of resection. In contrast, malignancy was not suspected as the etiology of the rupture in our patients until histologic examination of the resected spleen revealed carcinoma. Conclusion.—Splenic rupture is an unusual presentation of cancer of the pancreas, and to our knowledge only 4 cases have been reported previously in the literature. Although an underlying malignancy is relatively rare, spleens resected for atraumatic rupture should be carefully examined for possible neoplastic etiologies.

scholarly journals Atraumatic splenic rupture secondary to abscess in a hemodialysis patient: a rare and fatal cause of acute abdomen diagnosed late

2018 ◽  
Vol 2018 (5) ◽  
Author(s):  
Mehmet Tolga Kafadar ◽  
İbrahim Teker ◽  
Mehmet Ali Gök ◽  
Esat Taylan Uğurlu ◽  
İsmail Çetinkaya
Keyword(s):  
Acute Abdomen ◽  
Hemodialysis Patient ◽  
Splenic Rupture ◽  
Atraumatic Splenic Rupture

scholarly journals Atraumatic splenic rupture in young adult following cocaine use

2019 ◽  
Vol 65 ◽  
pp. 168-170 ◽  
Author(s):  
Joshua Lee Ramos ◽  
Michael Farr ◽  
Seung Hoon Shin ◽  
Nasim Ahmed
Keyword(s):  
Young Adult ◽  
Splenic Rupture ◽  
Cocaine Use ◽  
Atraumatic Splenic Rupture

scholarly journals Atraumatic Splenic Rupture in a SARS-CoV-2 Patient: Case Report and Review of Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Marcello Agus ◽  
Maria Elena Ferrara ◽  
Paola Bianco ◽  
Cristina Manieli ◽  
Paolo Mura ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Delayed Diagnosis ◽  
Caucasian Woman ◽  
Threatening Condition ◽  
Life Threatening ◽  
Atraumatic Splenic Rupture ◽  
Rupture Of The Spleen ◽  
Delay Of Diagnosis ◽  
Possible Cause

Splenic rupture in the absence of trauma or previously diagnosed disease is rare. Due to the delay of diagnosis and treatment, this is a potentially life-threatening condition. We report a case of atraumatic splenic rupture in a SARS-CoV-2 patient. This report is of particular interest as it first identifies SARS-CoV-2 infection as a possible cause of spontaneous rupture of the spleen. A 46-year-old Caucasian woman presented at the emergency department pale and sweaty, complaining of syncopal episodes, tachycardia, hypotension, diarrhea, intense abdominal pain, diffuse arthromyalgia, and fever from the day before. RT-PCR was positive for SARS-CoV-2 infection. CT scan demonstrated extensive hemoperitoneum due to rupture of the splenic capsule. The patient required an emergency open splenectomy because of an unresponsive hemorrhagic shock. At the end of the surgery, the patient was relocated to a COVID-19 dedicated facility. COVID-19 is a new disease of which all manifestations are not yet known. Inpatients affected by SARS-CoV-2 infection with abdominal pain and spontaneous splenic rupture should be considered to avoid a delayed diagnosis.

Atraumatic splenic rupture in amyloidosis

Amyloid ◽  
2009 ◽  
Vol 16 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Pietro Renzulli ◽  
Alain Schoepfer ◽  
Esther Mueller ◽  
Daniel Candinas
Keyword(s):  
Splenic Rupture ◽  
Atraumatic Splenic Rupture

scholarly journals Spontaneous splenic rupture in a patient with infectious mononucleosis

2019 ◽  
Vol 12 (9) ◽  
pp. e230259
Author(s):  
Charlotte Ruth Baker ◽  
Sid Kona
Keyword(s):  
Epstein Barr Virus ◽  
Splenic Rupture ◽  
Rare Complication ◽  
Young Female ◽  
Pleuritic Chest Pain ◽  
Diagnostic Challenge ◽  
Barr Virus ◽  
Ebv Infection ◽  
Epstein Barr ◽  
Atraumatic Splenic Rupture

We present a case of spontaneous, atraumatic splenic rupture secondary to Epstein-Barr virus (EBV) infection, in a young, female patient. Splenic rupture is a rare complication of EBV infection, but is associated with the highest mortality. Additionally, this case illustrates the diagnostic challenge in a patient presenting in atypical manner, with only left-sided pleuritic chest pain, and lacking any of the classical tonsillitis symptoms associated with EBV infection.

scholarly journals Rare splenic complications and specific serology: decisive diagnostic tools in two cases of visceral leishmaniasis

2012 ◽  
pp. 274-277
Author(s):  
Andrea Celestini ◽  
Federica Paglia ◽  
Orlando Dell’ Unto ◽  
Riccardo Guarisco ◽  
Claudio Puoti
Keyword(s):  
Bone Marrow ◽  
Visceral Leishmaniasis ◽  
Bone Marrow Biopsy ◽  
Clinical Presentation ◽  
Splenic Rupture ◽  
Splenic Infarction ◽  
Diagnostic Tools ◽  
Minor Trauma ◽  
Vector Borne ◽  
A Minor

Introduction: Visceral leishmaniasis (VL) is a major endemic vector-borne disease in Southern Europe. We present two cases of VL, both characterized by splenic complications. Methods and results: Case 1: A 47-year-old female presented with effort angina, hepatosplenomegaly and pancytopenia. The clinical course was complicated by splenic infarction. Although bone marrow biopsy failed to show amastigotes, diagnosis was performed by a fast agglutinating screening test (FAST) and confirmed by a direct agglutinating test (DAT). The patient was treated successfully with AmBisome. Case 2: A 22-year-old male who had undergone a splenectomy to treat splenic rupture related to a minor trauma four months earlier presented with fever, nocturnal sweats and weight loss. The lack of pancytopenia was due to the absence of the spleen. The first biopsy did not identify parasites, but because the FAST had been positive, another bone marrow biopsy was performed, which demonstrated leishmaniasis. This patient was treated with the same schedule of AmBisome infusion. Discussion: 1) The clinical presentation of VL can be atypical, 2) splenic complications can characterize this disease, and 3) specific serology may be an important tool to reach a diagnosis.

scholarly journals Spontaneous Splenic Rupture following Colorectal Surgery and Hemodialysis

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Ahmed Mohammed AlMuhsin ◽  
Antonio Privitera ◽  
Ameera Balhareth ◽  
Khalid Sabr
Keyword(s):  
Colorectal Surgery ◽  
Splenic Rupture ◽  
Management Plan ◽  
Traumatic Rupture ◽  
Spontaneous Splenic Rupture ◽  
Quadrant Pain ◽  
Atraumatic Splenic Rupture ◽  
High Index Of Suspicion ◽  
Clinical Conditions ◽  
Splenic Diseases

Atraumatic splenic rupture is rarely encountered in clinical practice compared to traumatic rupture. General risk factors include hematological, infectious, or malignant splenic diseases, uremic coagulopathy, use of heparin, hypertension, and immune-compromised status. Spontaneous splenic rupture following colorectal surgery has never been reported. Maintaining a high index of suspicion in patients presenting with left upper quadrant pain and tenderness is crucial. Diagnosis can be made with the aid of an ultrasound or CT scan. The management plan should be tailored to the patient’s clinical conditions. The authors present a case of spontaneous splenic rupture in a patient following colectomy for cancer and undergoing postoperative hemodialysis and discuss the possible etiological factors.

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