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Results for “SPLENIC RUPTURE”

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At least 19 recordsLinked to original sources
PubMed2004

Spontaneous splenic rupture.

Spontaneous splenic rupture is a rare entity. It is usually associated with infectious, neoplastic, or hematologic diseases. Unlike traumatic splenic rupture, spontaneous rupture of the spleen is not often considered in the differential diagnosis of abdominal pain and can be easily confused with other abdominal pathology. Failure to consider splenic rupture can be catastrophic. We report a case of atraumatic splenic rupture in a patient with no underlying disease pathology. This illustrates the importance of keeping a broad differential in patients presenting with acute abdominal pain and should remind the physician to consider the diagnosis of spontaneous nontraumatic splenic rupture.

Abdominal Pain↗
PubMed1975

[Contribution to the early diagnosis of splenic rupture using radioactive isotopes (author's transl)].

Among the methods of early diagnosis of rupture and trauma of the spleen, fixation of radioactive isotopes is one of the most interesting. An experimental study in the dog of B.M.H.P. metabolism, using B.M.H.P. labelled with Hg-203 and its rate of elimination by the kidney, gives information on lesions of the spleen, in particular, sub-capsular rupture. Splenic trauma reduces the capacity of uptake of mercury by this organ. Excretion in the urine then increases very definitely. This simple and inoffensive method should be used in man.

Animals↗
PubMed1984

Limitations of computed tomography in the recognition of delayed splenic rupture.

Delayed splenic rupture is a rare but life threatening complication of abdominal trauma. A case is reported in which initial evaluation by CT did not show hemoperitoneum or splenic laceration in a patient who ruptured his spleen 10 days following the initial injury. The limitations of current diagnostic methods are reviewed.

Adult↗
PubMed1997

[Conservative surgical treatment of a spontaneous splenic rupture during infectious mononucleosis. Report of a case and review of the [Conservative surgical treatment of a spontaneous splenic rupture during infectious mononucleosis. Case report and literature review].

A spontaneous splenic rupture occurred in a 31 year old patient suffering from infectious mononucleosis. An echography and an abdominal CT Scan revealed a rupture of the inferior pole of the spleen with a hemoperitoneum. A conservative surgical treatment was performed. Postoperative course was uneventful. This case-report draws the attention to the possibility of a conservative surgical treatment of a splenic rupture in the course of infectious mononucleosis. This attitude avoids the complications of splenectomy.

Adult↗
PubMed2004

[Spontaneous splenic rupture due to splenic metastasis of lung cancer].

We report the case of a patient who underwent splenectomy for spontaneous rupture of the spleen due to splenic metastasis. Pathologic examination revealed diffuse infiltration by carcinoma. Chest X-ray revealed a right lung superior lobe tumor, related to poorly differentiated carcinoma. Total splenectomy is a good option for diagnosis and treatment of splenic metastases.

Aged↗
PubMed1983

Hemophilic splenic rupture without thrombocytosis.

Spontaneous splenic rupture in hemophilia A is an uncommon occurrence which is difficult to diagnose. We have reported a case of hemophilic rupture of the spleen unaccompanied by thrombocytosis, which has been emphasized as a diagnostic clue to hemophilic splenic rupture. Hence, splenic rupture should still be considered in any hemophilic patient with pain in the left upper quadrant and a normal platelet count. Splenic rupture in hemophilia must be recognized because its treatment requires not only clotting factor infusion but also surgical intervention.

Adult↗
PubMed2003

Postpartum splenic rupture.

BACKGROUND: Spontaneous splenic rupture in pregnancy is rare and occurs most commonly in the third trimester or puerperium. CASES: In the first case, an eclamptic woman had postpartum uterine atony that necessitated hysterectomy. She was reexplored for increasing abdominal girth and evidence of hemoperitoneum on computed tomography scan. An actively bleeding defect was noted in the spleen, necessitating splenectomy. In the second case, a patient with cholestasis of pregnancy developed persistent bleeding after manual removal of the placenta, requiring a suction curettage followed by hysterectomy. Reexploration because of a dropping hematocrit revealed a capsular defect on the spleen, for which splenectomy was performed. CONCLUSION: A high index of suspicion of postpartum splenic rupture is imperative because delay in the diagnosis can lead to catastrophic consequences. Thus, it is vital to evaluate the entire abdomen in posthysterectomy hemoperitoneum.

Adult↗
PubMed2001

Fetal splenic rupture following transfusion.

BACKGROUND: Splenic rupture in the newborn is a rare complication in erythroblastosis fetalis. There are no reports of splenic rupture in the fetus affected by hemolytic disease of the newborn. CASE: A 41-year-old gravida 3, para 2-0-0-2 with severe rhesus alloimmunization was managed with serial intrauterine transfusions resulting in fetal death after the fourth procedure. Autopsy findings revealed intra-abdominal clotted blood and splenic capsular defects consistent with splenic rupture. CONCLUSION: Fetal splenic rupture might occur in hemolytic disease of the newborn associated with splenomegaly. Acute hemodynamic changes with increased intra-abdominal pressure from intrauterine transfusion might precipitate splenic rupture. (Obstet Gynecol 2001;97:824-5.

Adult↗
PubMed1979

[Delayed splenic rupture (author's transl)].

Splenic rupture is a common injury associated with blunt abdominal trauma. In contrast, delayed splenic rupture is less frequent and comprises about 8--28% of cases of splenic rupture. The symptom free period can last for days or weeks. The mechanism is explained as follows. A rupture of the parenchyma occurs but the spleen capsula remains intact. A hematoma forms below the capsule and causes a strong overdistension of the capsule so that a bursting and release of blood into the abdominal cavity results. The mortality rate with splenic ruptures in 6--55% and with delayed splenic ruptures 14.6%. Our experiences are reviewed. After commencement of the hemorrhage therapy must consist of treatment for shock and immediate laparotomy and splenectomy.

Adolescent↗
PubMedDate not supplied

Delayed presentation of splenic rupture after colonoscopy.

Splenic rupture is a rare but potentially deadly complication of colonoscopy. We present the case of a 70-year-old male who presented with abdominal pain, initially stable, almost 2 days after colonoscopy. The patient's clinical status deteriorated shortly after abdominal CT scan identified splenic rupture.

Abdominal Pain↗
PubMed1975

Spontaneous delayed splenic rupture--case report of a five-year interval between trauma and diagnosis.

A 27-year-old white man was admitted in shock with a tender distended abdomen 5 years following significant thoraco-abdominal trauma. Immediately following resuscitation he had an emergency exploratory laparotomy because of his critical condition. At operation 3 liters of old and fresh blood were present intraperitoneally and the spleen was ruptured. The spleen was surrounded by and adherent to the omentum and adjacent viscera. Splenectomy was performed and recovery was uneventful. Histologic examination of the spleen confirmed the 5-year interval between injury and rupture. Delayed splenic rupture accounts for 14% of all splenic injuries and has a high mortality. This case represents the longest reported delay between splenic trauma and delayed rupture.

Adult↗
PubMed2005

[Spontaneous splenic rupture due to amyloidosis].

Splenic rupture is frequently produced due to traumatic mechanisms, being referred to as spontaneous or pathological when there is no history of trauma or there is an underlying splenic disease. Spontaneous splenic rupture due to amyloid deposits is a very uncommon cause of surgical acute abdomen. The patient in this case is a woman admitted with acute abdomen secondary to spontaneous splenic rupture, whose final diagnosis was primary amyloidosis.

Abdomen, Acute↗