Hemorrhagic Shock from Spontaneous Splenic Rupture Requiring Open Splenectomy in a Patient Taking Rivaroxaban

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.

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Open splenectomy for Varicella zoster induced spontaneous splenic rupture

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2017.11.070 ◽

2018 ◽

Vol 42 ◽

pp. 237-241

Author(s):

Mark Christopher Sykes ◽

Bilal Azhar ◽

Laurence John ◽

Salman Bokhari

Keyword(s):

Splenic Rupture ◽

Spontaneous Splenic Rupture ◽

Open Splenectomy ◽

Varicella Zoster

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Case report: Open splenectomy for varicella zoster induced spontaneous splenic rupturecase report: Open splenectomy for varicella zoster induced spontaneous splenic rupture

International Journal of Surgery ◽

10.1016/j.ijsu.2018.05.088 ◽

2018 ◽

Vol 55 ◽

pp. S23-S24

Author(s):

M. Sykes ◽

B. Azhar ◽

L. John ◽

S. Bokhari

Keyword(s):

Case Report ◽

Splenic Rupture ◽

Spontaneous Splenic Rupture ◽

Open Splenectomy ◽

Varicella Zoster

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Hemorrhagic shock caused by primary splenic pregnancy with spontaneous splenic rupture

Journal of Obstetrics and Gynaecology Research ◽

10.1111/jog.14950 ◽

2021 ◽

Author(s):

Hanyi Wang ◽

Dongyun He ◽

Shouyang Gao ◽

Liyan Wang

Keyword(s):

Hemorrhagic Shock ◽

Splenic Rupture ◽

Spontaneous Splenic Rupture

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Spontaneous splenic rupture occurring as a complication of symptomfree infections mononucleosis

Orvosi Hetilap ◽

10.1556/oh.2007.28094 ◽

2007 ◽

Vol 148 (29) ◽

pp. 1381-1384 ◽

Cited By ~ 2

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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