Atraumatic splenic rupture in young adult following cocaine use

Cocaine abuse is frequent in patients visiting the emergency department (ED). The knowledge of the cardiovascular complications of cocaine is excellent among physicians. However the awareness regarding its abdominal complications, the most important of which include gastroduodenal perforation, bowel ischemia and splenic rupture is less adequate. We report a 58-year-old with cocaine use who presents with upper abdominal pain and a rapidly worsening clinical status. He was found to have atraumatic splenic rupture causing a hemoperitoneum that was managed by intervention radiology guided splenic artery embolization. Splenic hemorrhage and rupture need timely recognition, as they are difficult to diagnose clinically and can be potentially fatal. In the encounter of patients with cocaine use who present with chest or upper abdominal pain, clinicians should consider imaging to look for splenic rupture as it is often masked or overlooked due to the complicated clinical picture.

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Cocaine Rituals in Club Culture: Intensifying and Controlling Alcohol Intoxication

Journal of Drug Issues ◽

10.1177/0022042620986514 ◽

2021 ◽

pp. 002204262098651

Author(s):

Marit Edland-Gryt

Keyword(s):

Young Adult ◽

Young People ◽

Alcohol Intoxication ◽

Qualitative Interviews ◽

Cocaine Use ◽

Interaction Rituals ◽

Collective Effervescence ◽

Drinking Culture ◽

Cocaine Users ◽

And Control

Clubbing is an important part of the nighttime economy, and cocaine use is, for some young people, an essential part of this clubbing culture. However, the interaction rituals around the use of powder cocaine in this context remain understudied. This study is based on qualitative interviews with young adult recreational cocaine users ( n = 28) and explores how they use cocaine in club settings, in relation to rituals and drinking culture. The analysis identified three main explanations for using cocaine: (a) unity with friends because of shared transgression, (b) the high as a “collective effervescence,” and (c) the possibility to control, extend, and intensify drinking to intoxication. These three explanations illustrate how cocaine rituals were deeply integrated in drinking-to-intoxication rituals, and how the illegality of cocaine use reinforced feelings of unity with friends. In the nighttime economy, cocaine use and its related rituals are used to intensify and control alcohol-fuelled partying.

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

British Journal of Surgery ◽

10.1002/bjs.7053 ◽

2010 ◽

Vol 97 (4) ◽

pp. 616-617 ◽

Cited By ~ 1

Author(s):

P. Renzulli ◽

A. Hostettler ◽

A. M. Schoepfer ◽

B. Gloor ◽

D. Candinas

Keyword(s):

Systematic Review ◽

Splenic Rupture ◽

Atraumatic Splenic Rupture

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Atraumatic splenic rupture precipitated by splenic vein thrombosis

Radiology Case Reports ◽

10.1016/j.radcr.2016.02.002 ◽

2016 ◽

Vol 11 (2) ◽

pp. 86-89 ◽

Cited By ~ 1

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

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Splenic Rupture: A Rare Presentation of Pancreatic Carcinoma

Archives of Pathology & Laboratory Medicine ◽

10.5858/2004-128-1146-srarpo ◽

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.

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Clinical presentation and management of atraumatic splenic rupture

Clinical Case Reports ◽

10.1002/ccr3.1792 ◽

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

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

Journal of Surgical Case Reports ◽

10.1093/jscr/rjy103 ◽

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

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

Case Reports in Surgery ◽

10.1155/2021/5553619 ◽

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.

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Atraumatic splenic rupture in amyloidosis

Amyloid ◽

10.1080/13506120802676922 ◽

2009 ◽

Vol 16 (1) ◽

pp. 47-53 ◽

Cited By ~ 21

Author(s):

Pietro Renzulli ◽

Alain Schoepfer ◽

Esther Mueller ◽

Daniel Candinas

Keyword(s):

Splenic Rupture ◽

Atraumatic Splenic Rupture

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Spontaneous splenic rupture in a patient with infectious mononucleosis

BMJ Case Reports ◽

10.1136/bcr-2019-230259 ◽

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.

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