Nonoperative Management of Spontaneous Splenic Rupture in a Patient with Light-Chain Amyloidosis: A Case Report

2015 ◽  
Vol 26 (10) ◽  
pp. 1578-1580 ◽  
Author(s):  
Nicholas Bosch ◽  
Anne S. Renteria ◽  
Karen Quillen ◽  
Dina Brauneis ◽  
John Santilli ◽  
...  
2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Georgios Lianos ◽  
Eleftheria Ignatiadou ◽  
Christina Bali ◽  
Haralampos Harissis ◽  
Christos Katsios

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.


Author(s):  
Li Duo ◽  
Zhao Yingren ◽  
Chen Hongmei

Light chain systemic amyloidosis has low clinical incidence rate and poor prognosis. Relevant diagnosis depends on the biopsy results, and many patients were not confirmed until autopsy. Once amyloidosis is suspected, it is necessary to communicate with their families on the risks for treatment methods and prognosis.


1992 ◽  
Vol 78 (1) ◽  
pp. 47-48 ◽  
Author(s):  
Thomas M. Buzbee ◽  
Sewa S. Legha

We report a case of spontaneous splenic rupture in a patient with metastatic melanoma. Spontaneous splenic rupture without previous trauma has been observed in various pathological conditions such as infectious mononucleosis, malaria, typhoid fever and, rarely, neoplasms affecting the spleen. There have been several reported cases of splenic rupture in leukemias. Despite the high incidence of splenic metastases in metastatic melanoma, there have been only 3 cases of spontaneous splenic rupture reported in the past.


2004 ◽  
Vol 90 (1) ◽  
pp. 144-146 ◽  
Author(s):  
Pierluigi Ballardini ◽  
Elena Incasa ◽  
Antonio Del Noce ◽  
Luigi Cavazzini ◽  
Andrea Martoni ◽  
...  

2006 ◽  
Vol 72 (5) ◽  
pp. 401-404 ◽  
Author(s):  
I. Brichkov ◽  
L. Cummings ◽  
R. Fazylov ◽  
J.H. Horovitz

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.


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