scholarly journals Unusual case of acute onset abdominal pain: uses and limitations of medical imaging

CJEM ◽  
2003 ◽  
Vol 5 (04) ◽  
pp. 263-267
Author(s):  
Glen Bandiera ◽  
Eric Poulin
Keyword(s):  
Abdominal Pain ◽  
Unusual Case ◽  
Splenic Rupture ◽  
Helical Ct ◽  
Acute Onset ◽  
Helical Computed Tomography ◽  
Spontaneous Splenic Rupture ◽  
Contrast Enhanced ◽  
Ruptured Spleen

ABSTRACT A 28-year-old male with atraumatic abdominal pain and transient hypotension was assessed using bedside emergency department (ED) ultrasonography and contrast enhanced helical computed tomography (CT). Both tests revealed free intraperitoneal fluid, but neither detected a splenic defect. The patient subsequently underwent splenectomy for a ruptured spleen. His serology for typical viral causes was negative. This article discusses spontaneous splenic rupture, the role of imaging in diagnosis, and the limitations of ED ultrasound and contrast enhanced helical CT.

scholarly journals Splenic abscess leading to spontaneous splenic rupture

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Annum A. Bhullar ◽  
Caleb P. Canders ◽  
Amir Rouhani ◽  
Steven Lai
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Splenic Abscess ◽  
Spontaneous Splenic Rupture ◽  
Surgical History ◽  
Missed Diagnosis ◽  
Ruptured Spleen ◽  
Upper Abdominal ◽  
Rupture Of The Spleen ◽  
Dental Work

Spontaneous, atraumatic rupture of the spleen is an uncommon but potentially fatal cause of acute abdominal pain. Splenic abscesses are equally rare and can be a risk factor for spontaneous splenic rupture. We present a 45-year-old man with no past medical or surgical history who presented with acute worsening of left upper abdominal pain that had been present for months, who was discovered to have a ruptured spleen. Splenic abscess was discovered intra-operatively and was thought to have developed after dental work. Recognizing presenting features of spontaneous splenic rupture and understanding its potential causes, such as splenic abscesses, may prevent delayed or missed diagnosis and guide treatment, which typically includes emergent splenectomy.

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 Hemorrhagic Shock as a Sequela of Splenic Rupture in a Patient with Infectious Mononucleosis: Focus on the Potential Role of Salicylates

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Konstantinos Bouliaris ◽  
Dimos Karangelis ◽  
Marios Daskalopoulos ◽  
Konstantinos Spanos ◽  
Michael Fanariotis ◽  
...  
Keyword(s):  
Hemorrhagic Shock ◽  
Infectious Mononucleosis ◽  
Potential Role ◽  
Splenic Rupture ◽  
Emergency Laparotomy ◽  
Hemorrhagic Complication ◽  
Spontaneous Splenic Rupture ◽  
Predisposing Factor ◽  
Life Threatening

Despite the fact that the vast majority of splenic ruptures are traumatic, infectious mononucleosis has been incriminated as a major predisposing factor that affects the integrity of the spleen, thus causing atraumatic ruptures and life-threatening hemorrhages. Herein we present a case of a 23-year-old Caucasian male who underwent an emergency laparotomy for acute abdomen and hemorrhagic shock, caused by spontaneous splenic rupture secondary to infectious mononucleosis. The potential role of salicylates in the development of a hemorrhagic complication in a patient with infectious mononucleosis is discussed.

scholarly journals Spontaneous splenic rupture during induction therapy in acute myeloid leukemia: An unusual case.

2021 ◽  
Vol 16 (11) ◽  
pp. 3406-3409
Author(s):  
Rita Tavarozzi ◽  
Tiziana Borra ◽  
Gioacchino Catania ◽  
Lorella Depaoli ◽  
Maria Teresa Corsetti ◽  
...  
Keyword(s):  
Acute Myeloid Leukemia ◽  
Induction Therapy ◽  
Myeloid Leukemia ◽  
Unusual Case ◽  
Splenic Rupture ◽  
Spontaneous Splenic Rupture ◽  
Acute Myeloid

scholarly journals Spontaneous splenic rupture

2020 ◽  
Vol 24 (2) ◽  
pp. 250-252
Author(s):  
I. O. Kozak ◽  
S. A. Sukhodolia ◽  
L. I. Kozak ◽  
V. V. Ladyshkin
Keyword(s):  
Abdominal Pain ◽  
Literature Review ◽  
Spontaneous Rupture ◽  
Clinical Case ◽  
Splenic Rupture ◽  
Clinical Manifestations ◽  
Diagnostic Errors ◽  
Pathological Changes ◽  
Spontaneous Splenic Rupture ◽  
Rupture Of The Spleen

Annotation. We represent a clinical case of spontaneous rupture of the spleen in a patient 35 years old without of signs of injury and pathological changes of the organ. Based on own clinical experience and literature review, the extreme rarity of such pathology, the atypicality of its clinical manifestations, the causes of diagnostic errors and grave consequences are considered. It is noted that in the operation for acute appendicitis in the absence of destructive changes in the appendix, it is mandatory to search for the cause of abdominal pain, one of which may be a spontaneous rupture of the spleen.

Idiopathic spontaneous haemoperitoneum at 4 weeks gestation

2021 ◽  
Vol 14 (9) ◽  
pp. e244470
Author(s):  
Emily O'Brien ◽  
Rehan Feroz ◽  
Sona Jasani
Keyword(s):  
Abdominal Pain ◽  
Chorionic Gonadotropin ◽  
Human Chorionic Gonadotropin ◽  
Clinical Picture ◽  
Unusual Case ◽  
Early Stage ◽  
Acute Onset ◽  
Bleeding Source ◽  
Pregnancy Of Unknown Location ◽  
In Pregnancy

A 20-year-old nulliparous patient with acute-onset abdominal pain and imaging suggestive of haemoperitoneum was admitted for observation. Though, initially, haemodynamically stable, her clinical picture worsened throughout her hospitalisation and warranted two separate laparoscopies that revealed 1200 mL and 50 mL of haemoperitoneum, respectively, without an identifiable bleeding source. After serial β-human chorionic gonadotropin levels and ultrasound confirmation of a viable pregnancy 23 days later, the patient underwent a normal antenatal course and delivered a healthy infant at 37 weeks gestation. This unusual case highlights the need to consider spontaneous haemoperitoneum in pregnancy as a diagnosis, particularly in the setting of pregnancy of unknown location, even at an early stage of pregnancy.

Abdominal pain in varicella: an unusual cause of spontaneous splenic rupture

2004 ◽  
Vol 11 (3) ◽  
pp. 176-177 ◽  
Author(s):  
Irshaad Vial ◽  
M. Hamidou ◽  
M. Coste-Burel ◽  
D. Baron
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Spontaneous Splenic Rupture
Sign in / Sign up

Export Citation Format

Share Document