Nonoperative management of delayed splenic rupture in an adult

1982 ◽  
Vol 27 (2) ◽  
pp. 171-174 ◽  
Author(s):  
L. D. Freeman ◽  
D. S. Anderson ◽  
R. B. Greaney ◽  
T. S. Kilcheski ◽  
S. A. McAdams
Keyword(s):  
Splenic Rupture ◽  
Nonoperative Management ◽  
Delayed Splenic Rupture

scholarly journals Delayed splenic rupture and conservative management: case series

2021 ◽  
Vol 8 (11) ◽  
pp. 3407
Author(s):  
Marta A. Silva ◽  
Nídia Moreira ◽  
José Baião ◽  
Carlos E. Costa Almeida
Keyword(s):  
Conservative Management ◽  
Splenic Injury ◽  
Clinical Observation ◽  
Splenic Rupture ◽  
Clinical Signs ◽  
Case Series ◽  
Emergency Rooms ◽  
Abdominal Injuries ◽  
Hemodynamic Stability ◽  
Delayed Splenic Rupture

Splenic injury is frequent in patients with abdominal trauma and delayed splenic rupture yields a poorer prognosis. Patients with hemodynamic stability, despite the grade of splenic anatomical injury, can be safely treated by conservative management (observation or angiography/angioembolization), if no other intra-abdominal injuries are found and a multidisciplinary team (surgeons, interventional radiologists) is available. The conservative approach is an alternative to surgery and its possible complications. In this case series, the authors present three trauma cases very commonly seen in emergency rooms, in whom delayed splenic rupture was diagnosed. All three patients were submitted to conservative management, with no need for surgery or complications.  This case series presents some common clinical signs and diagnostic steps, also showing the safety and efficacy of clinical observation in this setting.

scholarly journals Two Cases of Delayed Splenic Rupture Treated Successfully by Transcatheter Arterial Embolization

2015 ◽  
Vol 48 (8) ◽  
pp. 715-722
Author(s):  
Takuya Matsui ◽  
Hidehiko Kitagami ◽  
Kaori Watanabe ◽  
Shiro Fujihata ◽  
Kenichi Nakamura ◽  
...  
Keyword(s):  
Transcatheter Arterial Embolization ◽  
Splenic Rupture ◽  
Arterial Embolization ◽  
Delayed Splenic Rupture

Successful embolization of a delayed splenic rupture following trauma in a child

2009 ◽  
Vol 44 (6) ◽  
pp. e1-e4 ◽  
Author(s):  
Sabine Vasseur Maurer ◽  
Alban Denys ◽  
Nicolas Lutz
Keyword(s):  
Splenic Rupture ◽  
Delayed Splenic Rupture

Delayed splenic rupture as a cause of haemoperitoneum in a CAPD patient with amyloidosis

2001 ◽  
Vol 16 (12) ◽  
pp. 2446-2446 ◽  
Author(s):  
Robert Dedi ◽  
Sunil Bhandari ◽  
P. M. Sagar ◽  
John H. Turney
Keyword(s):  
Splenic Rupture ◽  
Delayed Splenic Rupture ◽  
Capd Patient

Nonoperative Management of Spontaneous Splenic Rupture in Infectious Mononucleosis: The Role for Emerging Diagnostic and Treatment Modalities

2006 ◽  
Vol 72 (5) ◽  
pp. 401-404 ◽  
Author(s):  
I. Brichkov ◽  
L. Cummings ◽  
R. Fazylov ◽  
J.H. Horovitz
Keyword(s):  
Infectious Mononucleosis ◽  
Splenic Rupture ◽  
Nonoperative Management ◽  
Treatment Modalities ◽  
Minor Trauma ◽  
Spontaneous Splenic Rupture ◽  
Traditional Management ◽  
Teenagers And Young Adults ◽  
Common Manifestation

Infectious mononucleosis (IM) is a self-limiting lymphoproliferative disorder affecting teenagers and young adults. Splenomegaly is a common manifestation of IM and results in a compromised organ that may rarely rupture spontaneously, with significant morbidity and mortality. The IM spleen should be protected from even minor trauma. Although traditional management of spontaneous splenic rupture in IM has been splenectomy, the role of nonoperative management is evolving. The advent of endovascular interventional modalities has augmented the physician's armamentarium in managing these patients nonoperatively. We report a case of spontaneous splenic rupture in a patient with IM managed conservatively with the aid of splenic angiography. The option of arteriography, with or without embolization, should be considered in the management of all patients with spontaneous splenic rupture in the setting of IM.

scholarly journals Successful Nonoperative Management of Spontaneous Splenic Hematoma and Hemoperitoneum due to CMV Infection

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Georgios Lianos ◽  
Eleftheria Ignatiadou ◽  
Christina Bali ◽  
Haralampos Harissis ◽  
Christos Katsios
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Splenic Rupture ◽  
Nonoperative Management ◽  
Spontaneous Splenic Rupture ◽  
Cmv Infection ◽  
Life Threatening ◽  
Splenic Hematoma ◽  
Immunocompetent Adults ◽  
Operating Surgeon

Introduction. Spontaneous splenic hematoma or splenic rupture due to CMV infection in immunocompetent adults is rare and life-threatening.Case Report. Herein we report a rare case of spontaneous splenic hematoma and hemoperitoneum due to CMV infection in a 23-year-old Caucasian male in whom conservative management was successful.Conclusion. Spontaneous splenic hematoma and spontaneous splenic rupture are extremely rare conditions during primary CMV infection. Though rare, they must be always considered by the operating surgeon, because any misinterpretation may result in unfavorable outcomes.

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