scholarly journals Delayed Rupture of Occult Splenic Injury: a Case Report

2003 ◽  
Vol 10 (3) ◽  
pp. 188-190 ◽  
Author(s):  
CKM Chan ◽  
HS Chiu ◽  
CH Chung

We report on a case of splenic rupture that presented eleven days after a trivial injury. Possible explanations of the delay in presentation and ways for early detection are discussed. Emergency physicians should always bear this entity in mind before discharging patients with left thoracoabdominal injury.

2017 ◽  
Vol 7 (1) ◽  
pp. 58-61
Author(s):  
Smit Shah ◽  
Praful Shah

In this paper, we present a patient who underwent an emergency exploratory laparotomy after Motor Vehicle Collison (MVC) leading to splenic injury, avascular necrosis of kidney and right upper extremity Colles’ fracture. Goal of the paper is to present a patient of polytrauma along with its treatment plan in terms of prioritizing the standard of care. We also discuss various radiographical findings along with gross surgical findings that were found intraoperatively.South East Asia Journal of Public Health Vol.7(1) 2017: 58-61


2021 ◽  
Vol 86 ◽  
pp. 106370
Author(s):  
Tatsuo Funakawa ◽  
Hitoshi Kawanabe ◽  
Akinobu Usami ◽  
Keiso Takahashi ◽  
Yasumasa Kato ◽  
...  

PEDIATRICS ◽  
1982 ◽  
Vol 70 (1) ◽  
pp. 135-136
Author(s):  
Deborah Tolchin ◽  
Mordecai Koenigsberg ◽  
Maria Santorineou

There have been many reports of the association between hemihypertrophy and intraabdominal masses, including Wilms' tumor, hepatoma, and adrenal cortical neoplasias.1 The present report describes a patient with segmental hemihypertrophy, multiple ovarian cysts, and bilateral Wilms' tumor and suggests a screening regimen for patients with hemihypertrophy. CASE REPORT The patient was a 9 lb 14 oz product of a term pregnancy, who was well until a mass filling the entire right side of the abdomen was discovered on routine examination at 4 months of age. Intravenous pyelogram (IVP) confirmed a large prerenal mass which on ultrasound was felt to be an ovarian cyst.


2019 ◽  
Vol 11 (5) ◽  
pp. 226-227
Author(s):  
Nitin Arora ◽  
Daljeet Kaur ◽  
Urvashi Mishra ◽  
Radhika Bhateja ◽  
Nikhil Arora

identally swallowed dentures are one of the most common foreign bodies of upper digestive tract in elderly people and it can lead to severe complications. Complications ranging from oesophageal rupture, mediastinitis, haemetemesis, and recurrent laryngeal nerve injury has been reported. Therefore, an early detection and an early intervention are important. We are reporting a case of accidentally swallowed denture. After the diagnosis of an impacted denture was made, upper GI Oesophagoscopy was done and it was removed in emergency OT. This case highlights the importance of an early treatment in order to avoid complications.


Case reports ◽  
2017 ◽  
Vol 3 (2) ◽  
pp. 70-76
Author(s):  
Alicia Santa Cortes González ◽  
Verónica García Torres ◽  
Rocío Maily Vázquez Martínez ◽  
Uziel Suárez Cruz ◽  
Nataly Yazmín Cortés Trujillo

Introducción. La rotura esplénica asociada a la presencia de purpura trombocitopénica causada por mononucleosis infecciosa es extremadamente rara; la evolución de los pacientes con mononucleosis infecciosa asociada al virus de Epstein-Barr es benigna y autolimitada y no requiere intervenciones terapéuticas específicas. El cuadro es bien tolerado y tiene una baja frecuencia de complicaciones.Presentación del caso. Paciente femenino de 12 años de edad con dos días de evolución de dolor abdominal difuso, distensión, náuseas, palidez de tegumentos y fiebre no cuantificada, quien a su ingreso al servicio de urgencias muestra datos de descompensación hemodinámica, lesiones purpúricas y manchas equimoticas en extremidades. Se realizan estudios de laboratorio y gabinete que confirman anemia, trombocitopenia y hematoma esplénico, por lo que se practica laparotomía exploradora ante la posibilidad de hemoperitoneo.Resultados. La paciente presenta esplenomegalia, hematoma subcapsular roto con sangrado de 4000mL y lóbulo accesorio de bazo con rotura esplénica.Conclusiones. La rotura espontánea del bazo es una complicación infrecuente pero posible en enfermedades infecciosas; sin embargo su asociación a purpura trombocitopenica es extremadamente rara.


2011 ◽  
Vol 58 (4) ◽  
pp. 111-112 ◽  
Author(s):  
Milica Berisavac ◽  
Biljana Kastratovic-Kotlica ◽  
V. Tosic ◽  
N. Markovic ◽  
S. Ljustina ◽  
...  

Acute appendicitis in puerperium is often diagnosed too late, because clinical signs can be unrelaible. Abdominal wall rigidity is rarely noticed in puerpeium because of weak abdominal wall muscles, laboratory parameters are not enough relaible and atipycal appendix presentation makes difficulties in diagnosis3,4. Knowing clinical signs and symptoms of appendicitis, possible complications and their early detection, make a chance for a good surgical outcome. Measuring of axillar and rectal temperature can take confusion in, and prolong time until surgical treatment. Leucocytosis in puerperium is not valid for diagnosis. We report a case of patient in puerperium with high laboratory infection parameters. Diagnosis of appendicitis is made based on clinical signs and symptoms, that is proved intraoperatively and histologicaly. Appendectomy without perforation carries less risks for mother and fetus.


2021 ◽  
Vol 8 (11) ◽  
pp. 3407
Author(s):  
Marta A. Silva ◽  
Nídia Moreira ◽  
José Baião ◽  
Carlos E. Costa Almeida

Splenic injury is frequent in patients with abdominal trauma and delayed splenic rupture yields a poorer prognosis. Patients with hemodynamic stability, despite the grade of splenic anatomical injury, can be safely treated by conservative management (observation or angiography/angioembolization), if no other intra-abdominal injuries are found and a multidisciplinary team (surgeons, interventional radiologists) is available. The conservative approach is an alternative to surgery and its possible complications. In this case series, the authors present three trauma cases very commonly seen in emergency rooms, in whom delayed splenic rupture was diagnosed. All three patients were submitted to conservative management, with no need for surgery or complications.  This case series presents some common clinical signs and diagnostic steps, also showing the safety and efficacy of clinical observation in this setting.


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