Malignant Cause of Abdominal Pain in Leukemia: Spontaneous Splenic Rupture

2015 ◽  
Vol 349 (2) ◽  
pp. 189-190 ◽  
Author(s):  
Dipenkumar Modi ◽  
Hirva Mamdani ◽  
Abhinav Deol
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Spontaneous Splenic Rupture

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.

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.

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

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 Spontaneous Splenic Rupture in Severe Dengue

2013 ◽  
Vol 1 (1) ◽  
pp. 59-62 ◽  
Author(s):  
Ahmad Mursel Anam ◽  
Mohammad Mufizul Islam Polash ◽  
Md Motiul Islam ◽  
Muhammad Mahbubur Rahman Bhuiyan ◽  
ARM Nooruzzaman ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Febrile Illness ◽  
Acalculous Cholecystitis ◽  
Severe Dengue ◽  
Spontaneous Splenic Rupture ◽  
History Of ◽  
Plasma Leakage ◽  
Laboratory Investigations ◽  
High Index Of Suspicion

Dengue is a mosquito-borne systemic viral infection with variety of clinical presentation, ranging from mild febrile illness to severe and fatal disease. A patient presented with history of fever and abdominal pain, and later developed shock. From clinical and epidemiological features, he was diagnosed as a patient of severe dengue, later confirmed by laboratory investigations. In dengue, shock can result from plasma leakage, and abdominal pain may be a feature of acalculous cholecystitis or pancreatitis, recognised presentations of dengue and usually managed conservatively. But high index of suspicion persuaded abdominal imaging, revealing a potentially fatal complication of dengue- spontaneous splenic rupture. Aggressive resuscitation and early surgery saved the patient. DOI: http://dx.doi.org/10.3329/bccj.v1i1.14373 Bangladesh Crit Care J March 2013; 1: 59-62

scholarly journals Spontaneous splenic rupture and Anisakis appendicitis presenting as abdominal pain: a case report

2012 ◽  
Vol 6 (1) ◽  
Author(s):  
Joaquín Valle ◽  
Elisa Lopera ◽  
María Eugenia Sánchez ◽  
Rocío Lerma ◽  
Javier López Ruiz
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Splenic Rupture ◽  
Spontaneous Splenic Rupture

scholarly journals The presentation of spontaneous splenic rupture in a COVID-19 patient: a case report

2020 ◽  
Author(s):  
Mohammadreza Mobayen ◽  
Saeed Yousefi ◽  
Mohammadsadegh Mousavi ◽  
Amin Shafighi Anbaran
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Inflammatory Diseases ◽  
Spontaneous Splenic Rupture ◽  
Hematological Diseases ◽  
Medical Centers ◽  
Distress Symptoms ◽  
Patient Reported ◽  
History Of ◽  
Rupture Of The Spleen

Abstract Introduction: Splenic rupture is an emergency condition and the vast numbers of cases are secondary to trauma. Several underlying pathologies have also been associated with splenic rupture, such as hematological diseases, malignancies, and infectious and inflammatory diseases.Presentation of case: The patient was a 52-year-old man who referred to the Poursina Hospital in Rasht while complaining of abdominal pain from the day before hospitalization. The patient reported a history of lethargy, fever, and nausea. In the examinations performed, there was a brief tenderness in the patient's epigastrium. The patient was monitored and about 12 hours after hospitalization, ill appearance, respiratory (respiratory distress) symptoms, and high fever were reported for the patient. According to the examination, the patient was immediately transferred to the operating room and underwent laparotomy. During the operation, contrary to our expectations, a lot of blood (about 1000 cc) was observed in the patient's abdomen. After blood suctioning, the left upper quadrant (LUQ) was bleeding and the rupture of the spleen could also be observed. Therefore, a splenectomy was performed .In the examinations performed for the patient, the patient's rtPCR test confirmed COVID-19.Conclusion: The evaluation of the spontaneous splenic rupture (SSR) in our case shows that this type of risk should also be considered in patients with COVID-19 who referred to medical centers with abdominal pain, and if more cases are reported, the correctness of this process can be commented on.

scholarly journals The presentation of spontaneous splenic rupture in a COVID-19 patient: a case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mohammadreza Mobayen ◽  
Saeed Yousefi ◽  
Mohammadsadegh Mousavi ◽  
Amin Shafighi Anbaran
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Inflammatory Diseases ◽  
Spontaneous Splenic Rupture ◽  
Vast Number ◽  
Medical Centers ◽  
Distress Symptoms ◽  
Patient Reported ◽  
History Of ◽  
Rupture Of The Spleen

Abstract Background Splenic rupture is an emergency condition and a vast number of cases are secondary to trauma. Several underlying pathologies have also been associated with splenic rupture, such as hematological diseases, malignancies, and infectious and inflammatory diseases. Case presentation The patient was a 52-year-old man who referred to the Poursina Hospital in Rasht while complaining of abdominal pain from the day before hospitalization. The patient reported a history of lethargy, fever, and nausea. In the examinations performed, there was a brief tenderness in the patient’s epigastrium. The patient was monitored and about 12 h after hospitalization, ill appearance, respiratory (respiratory distress) symptoms, and high fever were reported for the patient. According to the examination, the patient was immediately transferred to the operating room and underwent laparotomy. During the operation, contrary to our expectations, a lot of blood (about 1000 cc) was observed in the patient’s abdomen. After blood suctioning, the left upper quadrant (LUQ) was bleeding and the rupture of the spleen could also be observed. Therefore, a splenectomy was performed. In the examinations performed for the patient, the patient’s rtPCR test confirmed COVID-19. Conclusion The evaluation of the spontaneous splenic rupture (SSR) in our case shows that this type of risk should also be considered in patients with COVID-19 who refer to medical centers with abdominal pain, and if more cases are reported, the correctness of this process can be commented on.

scholarly journals Spontaneous splenic rupture in infectious mononucleosis

2018 ◽  
Vol 146 (5-6) ◽  
pp. 320-322
Author(s):  
Bozidar Odalovic ◽  
Milan Jovanovic ◽  
Radojica Stolic ◽  
Branislav Belic ◽  
Simon Nikolic ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Blood Transfusion ◽  
Infectious Mononucleosis ◽  
Splenic Rupture ◽  
Spontaneous Splenic Rupture ◽  
Normal Range ◽  
Fatal Complication ◽  
Postoperative Course ◽  
Sport Activities

Introduction. Spontaneous splenic rupture is a rare but potentially fatal complication of infectious mononucleosis (IM). It occurs in only 0.1?0.5% of cases of this disease. The aim of this paper was to present a case with spontaneous splenic rupture after IM. Case outline. A 22-year-old female patient was feeling better one month after she was treated for infectious mononucleosis, and started training volleyball. Two weeks after starting the training, she felt severe abdominal pain. The diagnosis of rupture was confirmed with computer tomography. Splenectomy was successfully performed. The postoperative course was uneventful and the patient recovered with no need for blood transfusion. Conclusion. Timely diagnosis and setting indications for surgical treatment are crucial in healing. Patients should wait to start with sport activities at least two months if the size of the spleen is within normal range.

Spontaneous splenic rupture occurring as a complication of symptomfree infections mononucleosis

2007 ◽  
Vol 148 (29) ◽  
pp. 1381-1384 ◽  
Author(s):  
Márta Szokó ◽  
András Matolcsy ◽  
Gábor Kovács ◽  
Gábor Simon
Keyword(s):  
Splenic Rupture ◽  
Spontaneous Splenic Rupture ◽  
Epstein Barr

A lépruptura a mononucleosis infectiosa ritka szövődménye, a betegek 0,1–0,5%-ánál következik be. Ez a betegség leggyakoribb halálos komplikációja. A mononucleosisra jellemző egyéb tünetek nélkül kialakuló spontán lépruptura különösen ritka, váratlan bekövetkezése miatt a fatális kimenetel lehetőségével fenyeget. A szerzők egy 16 éves, spontán lépruptura miatt splenectomizált fiú esetét ismertetik, akinél a szerológiai vizsgálatok friss Epstein–Barr-vírusinfekciót igazoltak, a mononucleosis infectiosa egyéb tünetei, jelei nélkül. Áttekintik a mononucleosisban kialakuló lépruptura diagnosztikáját és kezelését.

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