scholarly journals Spontaneous Splenic Rupture in an Ill Returned Traveller

Author(s):  
David FGJ Wolthuis ◽  
Ron W Bosboom ◽  
Robert-Jan Hassing

Spontaneous splenic rupture is a known, but rare and possibly fatal, complication of different infectious diseases. We present a case of a 38-year-old male patient who presented with fever, icterus and spontaneous splenic rupture after a visit to Vietnam and discuss the differential diagnosis of splenic rupture in ill returned travellers.

2020 ◽  
Vol 38 (2) ◽  
pp. 98-100
Author(s):  
Irin Parveen Alam ◽  
Sirajammunira

Laparotomy for intra-abdominal haemorrhage due to ectopic pregnancy is a common practice in Gynaecology. But laparotomy due to nongynecological causes may rarely happen in this department. A case report is discussed here where abdomen was opened as a case of ectopic pregnancy but subsequently patient needed relaparotomy and finally diagnosed as an atraumatic splenic rupture. The purpose of this paper is to bring this differential diagnosis to clinician’s minds, so that physician can consider the diagnosis of spontaneous nontraumatic splenic rupture. J Bangladesh Coll Phys Surg 2020; 38(2): 98-100


2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Catherine McCollum ◽  
Khurram Khan ◽  
Lewis Gall ◽  
Andrew Macdonald

Abstract Background Although rare, spontaneous splenic rupture (SSR) is a potentially life threatening condition and most commonly associated with infection and malignancy. Haematological malignancies are an important differential diagnosis and among these chronic myeloid leukaemia (CML) has one of the highest associations with SSR. Methods This case report follows a previously fit and healthy thirty-three year old gentleman who presented to accident and emergency with one day history of sudden onset, severe, left upper quadrant pain. CT of the abdomen and pelvis including an arterial phase, confirmed splenic rupture with moderate volume haemo-peritoneum, but no active bleeding. White cell count (WCC) was 225.8 x10^9/l and blood film confirmed suspicion of haematological malignancy. The patient was haemodynamically stable and therefore transferred to the surgical high dependency unit for observation and conservative management. He was commenced on hydroxycarbamide on the advice of haematology. Results Genetic screening detected BCR-ABL1 and Philadelphia chromosome; this along with bone marrow aspirate confirmed diagnosis of CML. His WCC decreased with hydroxycarbamide therapy. He made good clinical progress and was discharged home with haematology follow up. Hydroxycarbamide has since been stopped and he has been initiated on Imatinib therapy. His WCC has returned to normal and he has remained well with no further complications. Conclusions SSR is an extremely rare first presentation of CML. Given its associated morbidity and mortality, it should remain an important differential diagnosis in patients presenting acutely to the General Surgeon with abdominal pain and shock, especially in those with a known underlying haematological malignancy.


2018 ◽  
Vol 146 (5-6) ◽  
pp. 320-322
Author(s):  
Bozidar Odalovic ◽  
Milan Jovanovic ◽  
Radojica Stolic ◽  
Branislav Belic ◽  
Simon Nikolic ◽  
...  

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.


2007 ◽  
Vol 148 (29) ◽  
pp. 1381-1384 ◽  
Author(s):  
Márta Szokó ◽  
András Matolcsy ◽  
Gábor Kovács ◽  
Gábor Simon

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.


Pathology ◽  
2010 ◽  
Vol 42 ◽  
pp. S88-S89
Author(s):  
Andrew J. Gifford ◽  
David Nevell ◽  
Charles Chan ◽  
Kirsty McIlroy

2014 ◽  
Vol 6 (3) ◽  
pp. 84-86
Author(s):  
Sonam Sharma ◽  
Amita Sharma ◽  
Ashok Kumar ◽  
Shivani Kalhan ◽  
Jasmine Kaur

Pyogenic granuloma (PG) is a kind of inflammatory hyperplasia in response to chronic irritation. Here, we report a case of 64 year old male patient with PG on midline of the dorsum of the posterior third of the tongue. Its differential diagnosis, the importance of biopsy findings in establishing definitive diagnosis and about the new approaches for its treatment is discussed. DOI: http://dx.doi.org/10.3126/ajms.v6i3.10619Asian Journal of Medical Sciences Vol.6(3) 2015 84-86


2016 ◽  
Vol 82 (2) ◽  
pp. 54-55 ◽  
Author(s):  
Arpit Amin ◽  
Aditya Safaya ◽  
Faisal Ronny ◽  
Humayun Islam ◽  
Kalyani Bhuta ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document