Spontaneous rupture of ureter: an unusual cause of acute abdominal pain

Spontaneous rupture of spleen due to malignant melanoma is a rare situation, with only a few case reports in the literature. This study reports a previously healthy, 30-year-old man who came with chief complaint of acute abdominal pain to emergency room. On physical examination, abdominal tenderness and guarding were detected to be coincident with hypotension. Ultrasonography revealed mild splenomegaly with moderate free fluid in abdominopelvic cavity. Considering acute abdominal pain and hemodynamic instability, he underwent splenectomy with splenic rupture as the source of bleeding. Histologic examination showed diffuse infiltration by tumor. Immunohistochemical study (positive for S100, HMB45, and vimentin and negative for CK, CD10, CK20, CK7, CD30, LCA, EMA, and chromogranin) confirmed metastatic malignant melanoma. On further questioning, there was a past history of a nasal dark skin lesion which was removed two years ago with no pathologic examination. Spontaneous (nontraumatic) rupture of spleen is an uncommon situation and it happens very rarely due to neoplastic metastasis. Metastasis of malignant melanoma is one of the rare causes of the spontaneous rupture of spleen.

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Spontaneous rupture of a non-parasitic splenic cyst

BMJ Case Reports ◽

10.1136/bcr-2019-231473 ◽

2019 ◽

Vol 12 (10) ◽

pp. e231473

Author(s):

Lodewijk CS Res ◽

Mireille T T Knook ◽

Hans M Hazelbag ◽

Onno R Guicherit

Keyword(s):

Abdominal Pain ◽

Histological Examination ◽

Clinical Condition ◽

Spontaneous Rupture ◽

Laparoscopic Splenectomy ◽

Acute Abdominal Pain ◽

Treatment Options ◽

Splenic Cyst ◽

Epithelial Lining ◽

Splenic Cysts

Rupture of a non-parasitic splenic cyst is a rare but possibly dangerous complication with 21 cases described so far. We present a 46-year-old woman who presented with acute abdominal pain and was diagnosed with a spontaneous ruptured splenic cyst that was successfully treated by laparoscopic splenectomy. Histological examination showed characteristics corresponding with a non-parasitic congenital cyst that had lost its epithelial lining. Several treatment options can be considered for splenic cysts, depending on size and location. In case of rupture, the clinical condition of the patient should be taken into account.

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Spontaneous Rupture of the Spleen in Postpartum

Journal of Clinical Review & Case Reports ◽

10.33140/jcrc.05.03.09 ◽

2020 ◽

Vol 5 (3) ◽

Keyword(s):

Abdominal Pain ◽

Spontaneous Rupture ◽

Surgical Intervention ◽

Splenic Rupture ◽

Acute Abdominal Pain ◽

Rare Condition ◽

Risk Of Mortality ◽

The Us ◽

Speed Up ◽

Rupture Of The Spleen

Introduction: Spontaneous rupture of the spleen in postpartum or in pregnancy is a rare condition with severe complications and a high risk of mortality that must be suspected on clinical examination and confirmed immediately by ultrasound and CT scan. Case Report: We report the case of a 28 years woman who was admitted for abdominal pain and hemorrhagic shock on her second postpartum day. The splenic rupture was found in the US and CT scans. Given the patient improvement and the favorable control of lesions after drainage, surgical intervention was not required. Conclusion: Spontaneous splenic rupture is an important diagnosis to call to mind in women presenting in postpartum an acute abdominal pain with signs of hemorrhage. Imaging has a fundamental role in the immediate diagnosis of the attack to speed up its management and avoid its complications.

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Spontaneous Rupture of the Kidney: A Cause of Acute Abdominal Pain

Scandinavian Journal of Urology and Nephrology ◽

10.3109/00365598909180346 ◽

1989 ◽

Vol 23 (4) ◽

pp. 313-314 ◽

Cited By ~ 8

Author(s):

Anastasios Thanos ◽

Antony Farmakis ◽

Nicolaos Davillas

Keyword(s):

Abdominal Pain ◽

Spontaneous Rupture ◽

Acute Abdominal Pain

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Spontaneous Rupture of a Vesicourachal Diverticulum Manifesting as Acute Abdominal Pain

Academic Emergency Medicine ◽

10.1111/j.1553-2712.1996.tb03375.x ◽

1996 ◽

Vol 3 (12) ◽

pp. 1140-1143 ◽

Cited By ~ 6

Author(s):

Jack B. Lewis ◽

Jeffrey W. Morse ◽

Michael F. Eyolfson ◽

Stephen L. Schwartz

Keyword(s):

Abdominal Pain ◽

Spontaneous Rupture ◽

Acute Abdominal Pain

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Spontaneous rupture of uterine smooth muscle tumour presenting acute abdominal pain and haemoperitoneum

BMJ Case Reports ◽

10.1136/bcr-2017-222806 ◽

2018 ◽

pp. bcr-2017-222806

Author(s):

Hanako Oda ◽

Hiroshi Hirakawa

Keyword(s):

Smooth Muscle ◽

Abdominal Pain ◽

Spontaneous Rupture ◽

Acute Abdominal Pain ◽

Smooth Muscle Tumour ◽

Uterine Smooth Muscle

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Use of point-of-care ultrasound to diagnose spontaneous rupture of fibroid in pregnancy

POCUS Journal ◽

10.24908/pocus.v6i1.14757 ◽

2021 ◽

Vol 6 (1) ◽

pp. 16-21

Author(s):

Stephen Lammers ◽

Christopher Hong ◽

Jared Tepper ◽

Christy Moore ◽

Cameron Baston ◽

...

Keyword(s):

Abdominal Pain ◽

Spontaneous Rupture ◽

Acute Abdominal Pain ◽

Point Of Care ◽

Pregnant Patient ◽

Point Of Care Ultrasound ◽

Third Trimester ◽

Current Case ◽

The Third ◽

In Pregnancy

Background: Complications of fibroids in pregnancy are well known, including postpartum hemorrhage, labor dystocia, and cesarean delivery. Outside of pregnancy and labor, the rare occurrence of spontaneous fibroid rupture has been documented. Case: The current case report involves a woman who presented with acute abdominal pain in the third trimester of pregnancy and was found to have spontaneous rupture of a fibroid before the onset of labor. Her initial presentation, diagnosis through use of point-of-care ultrasound, acute surgical management, and postoperative course are described. Conclusion: When assessing acute abdominal pain in a pregnant patient, fibroid rupture should be considered despite the absence of prior uterine surgery. Bedside point-of-care ultrasonography is a useful tool for assessment of abdominal pain in the third trimester of pregnancy.

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Spontaneous Rupture of Uterine Vein in Twin Pregnancy

Case Reports in Obstetrics and Gynecology ◽

10.1155/2013/596707 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Emek Doger ◽

Yigit Cakiroglu ◽

Sule Yildirim Kopuk ◽

Bertan Akar ◽

Eray Caliskan ◽

...

Keyword(s):

Abdominal Pain ◽

Spontaneous Rupture ◽

Laboratory Tests ◽

Twin Pregnancy ◽

Acute Abdominal Pain ◽

Clinical Symptoms ◽

Rare Complication ◽

Hypovolemic Shock ◽

Third Trimester ◽

The Right

Objective. Aim of our study is to present a case of a twin pregnancy following invitro fertilization cycle complicated with hemoperitoneum at third trimester.Case. A 26-year-old nulliparous pregnant woman at 32 weeks of gestation with twin pregnancy following invitro fertilization cycle complained of abdominal pain. After 48 hours of admission, laparotomy was performed with indications of aggravated abdominal pain and decreased hemoglobin levels. Utero-ovarian vein branch rupture was detected on the right posterior side of uterus and bleeding was stopped by suturing the vein. Etiopathogenesis of the present case still remains unclear.Conclusion. Spontaneous rupture of the uterine vessels during pregnancy is a rare complication and may lead to maternal and fetal morbidity and mortality. Diagnosis and treatment are based on the clinical symptoms of acute abdominal pain and laboratory tests of hypovolemic shock signs.

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