scholarly journals Spontaneous Rupture of Splenic Hemangioma in a Neonate

2016 ◽  
Vol 5 (3) ◽  
pp. 36
Author(s):  
Bruno Martinez-Leo ◽  
Jorge Vidal-Medina ◽  
Jesus Cervantes-Ledezma ◽  
Arid Diaz de Leon-Rivera ◽  
Edith Diaz-Velasco
Keyword(s):  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Neonatal Period ◽  
Hypovolemic Shock ◽  
Circulatory Shock ◽  
Vascular Tumors

Spleen vascular tumors such as hemangiomas, albeit rare, can present during neonatal period with unexplained circulatory shock. We present a case of a newborn with refractory hypovolemic shock and acute abdomen that underwent emergency splenectomy due to spontaneous rupture of a splenic hemangioma.

Spontaneous rupture of choledochal cyst: An unusual cause of acute abdomen in children

1997 ◽  
Vol 32 (5) ◽  
pp. 736-738 ◽  
Author(s):  
İbrahim Karnak F. Cahit Tanyel ◽  
Nebil Büyükpamukçu ◽  
Akgün Hiçsönmez
Keyword(s):  
Acute Abdomen ◽  
Choledochal Cyst ◽  
Spontaneous Rupture

scholarly journals Spontaneous Rupture of Urinary Bladder: Two Case Reports and Review of Literature

2021 ◽  
Vol 8 ◽  
Author(s):  
Yue Zhang ◽  
Shuo Yuan ◽  
Rami W. A. Alshayyah ◽  
Wankai Liu ◽  
Yang Yu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Urinary Bladder ◽  
Antibiotic Therapy ◽  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Bladder Tumor ◽  
Bladder Rupture ◽  
Intraperitoneal Rupture ◽  
History Of ◽  
Ct Cystography

Objectives: Spontaneous rupture of the urinary bladder (SRUB) is extremely rare and might be misdiagnosed, leading to a high mortality rate. The current study aimed to identify the cause, clinical features, and diagnosis strategy of SRUB.Methodology: We presented a case report for two women (79 and 63 years old) misdiagnosed with acute abdomen and acute kidney injury, respectively, who were finally confirmed to have SRUB by a series of investigations and exploratory surgery. Meanwhile, literature from multiple databases was reviewed. PubMed, the Chinese National Knowledge Infrastructure (CNKI), the Chinese Biological Medical Literature Database (CBM), WANFANG DATA, and the Chongqing VIP database for Chinese Technical Periodicals (VIP) were searched with the keywords “spontaneous bladder rupture” or “spontaneous rupture of bladder” or “spontaneous rupture of urinary bladder.” All statistical analyses were conducted using SPSS 20.0 software.Results: A total of 137 Chinese and 182 English literature papers were included in this article review. A total of 713 SRUB patients were analyzed, including the two patients reported by us. The most common cause of SRUB was alcohol intoxication, lower urinary tract obstruction, bladder tumor or inflammation, pregnancy-related causes, bladder dysfunction, pelvic radiotherapy, and history of bladder surgery or bladder diverticulum. Most cases were diagnosed by exploratory laparotomy and CT cystography. Patients with extraperitoneal rupture could present with abdominal pain, abdominal distention, dysuria, oliguria or anuria, and fever. While the main symptoms of intraperitoneal rupture patients could be various and non-specific. The common misdiagnoses include acute abdomen, inflammatory digestive disease, bladder tumor or inflammation, and renal failure. Most of the patients (84.57%) were treated by open surgical repair, and most of them were intraperitoneal rupture patients. Overall, 1.12% of patients were treated by laparoscopic surgery, and all of them were intraperitoneal rupture patients. Besides, 17 intraperitoneal rupture patients and 6 extraperitoneal rupture patients were treated by indwelling catheterization and antibiotic therapy. Nine patients died of delayed diagnosis and treatment.Conclusions: SRUB often presents with various and non-specific symptoms, which results in misdiagnosis or delayed treatment. Medical staff noticing abdominal pain suggestive of peritonitis with urinary symptoms should be suspicious of bladder rupture, especially in patients with a history of bladder disease. CT cystography can be the best preoperative non-invasive examination tool for both diagnosis and evaluation. Conservative management in the form of urine drainage and antibiotic therapy can be used in patients without severe infection, bleeding, or major injury. Otherwise, surgical treatment is recommended. Early diagnosis and management of SRUB are crucial for an uneventful recovery.

scholarly journals Spontaneous rupture of a splenic artery aneurysm with splenic epithelioid hemangioendothelioma: a case report

2019 ◽  
Vol 47 (2) ◽  
pp. 1059-1063
Author(s):  
Ganghong Chen ◽  
Jing Yang ◽  
Guangyu Qian ◽  
Kexiang Jiang ◽  
Yanting Lv ◽  
...  
Keyword(s):  
Case Report ◽  
Spontaneous Rupture ◽  
Splenic Artery ◽  
Hypovolemic Shock ◽  
Artery Aneurysm ◽  
Rare Condition ◽  
Sudden Onset ◽  
Epithelioid Hemangioendothelioma ◽  
Splenic Artery Aneurysm ◽  
Quadrant Pain

Spontaneous rupture of a splenic artery aneurysm with splenic epithelioid hemangioendothelioma is a rare condition. Splenic artery aneurysm can be complicated by rupture resulting in hypovolemic shock, which can be fatal if not treat properly. We report a case of a 50-year-old man who presented with sudden onset of left upper quadrant pain and shock. This patient underwent splenectomy with distal pancreatectomy. His pathological diagnosis showed splenic epithelioid hemangioendothelioma.

scholarly journals Unusual Petal-like Fibromuscular Dysplasia as a Cause of Acute Abdomen and Circulatory Shock

2002 ◽  
Vol 43 (3) ◽  
pp. 301-305 ◽  
Author(s):  
Tsutomu Horie ◽  
Yoshihiko Seino ◽  
Yasushi Miyauchi ◽  
Tsutomu Saitoh ◽  
Teruo Takano ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Fibromuscular Dysplasia ◽  
Circulatory Shock

A rare case of acute abdomen: spontaneous rupture of degenerated fibroid

2021 ◽  
Vol 14 (3) ◽  
pp. e238010
Author(s):  
Nidhi Goswami ◽  
Aderemi Alalade
Keyword(s):  
Ct Scan ◽  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Rare Case ◽  
Surgical Intervention ◽  
Elective Surgery ◽  
Fluid Collection ◽  
Emergency Laparotomy ◽  
Rare Presentation ◽  
Large Uterus

A 29-year-old nulliparous woman presented with an acute abdomen. She had a large uterus with multiple fibroids and was on the waiting list for elective surgery. An urgent CT scan demonstrated an extensive intraperitoneal fluid collection suspicious for fibroid rupture. She required an emergency laparotomy which identified a rupture of the largest degenerative fibroid. There was 2 Litres of pus in the peritoneal cavity. This case was a rare presentation of spontaneous fibroid rupture due to degeneration and necrosis, and acute abdomen from peritoneal irritation. Imaging was vital in making the diagnosis, and urgent surgical intervention was essential to reduce morbidity and mortality.

scholarly journals In utero ileal volvulus and intestinal perforation associated with enteric duplication cyst presenting with preterm labour and acute abdomen in newborn

2019 ◽  
Vol 12 (11) ◽  
pp. e232052
Author(s):  
Sonam G Kapadia ◽  
Matthew Crabtree ◽  
Samuel French ◽  
Daniel A DeUgarte
Keyword(s):  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Gestational Age ◽  
Unusual Case ◽  
Neonatal Period ◽  
Preterm Labour ◽  
In Utero ◽  
Duplication Cyst ◽  
Enteric Duplication Cyst ◽  
Enteric Duplication

Enteric duplication cysts are a rare cause of intestinal obstruction in the neonatal period. We present the unusual case of an in utero ileal volvulus secondary to an enteric duplication cyst causing an acute abdomen in a 35-week estimated gestational age newborn female delivered to a mother in preterm labour.

An acute abdomen: Spontaneous rupture of liver during pregnancy

1976 ◽  
Vol 63 (9) ◽  
pp. 718-720 ◽  
Author(s):  
Max Baumwol ◽  
W. Park
Keyword(s):  
Acute Abdomen ◽  
Spontaneous Rupture

Spontaneous rupture of a splenic artery aneurysm during the third trimester of pregnancy

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Nuri Peker ◽  
Nazif Harun Vicdanlı ◽  
Ahmet Demir ◽  
Mehmet Buğra Bozan ◽  
Savaş Gündoğan
Keyword(s):  
Maternal Death ◽  
Spontaneous Rupture ◽  
Splenic Artery ◽  
Strong Association ◽  
Hypovolemic Shock ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Third Trimester ◽  
Life Threatening ◽  
Threatening Situation

Abstract Spontaneous rupture of a splenic artery aneurysm (SAA) during pregnancy is a rare but life-threatening situation typically presenting with sudden and unexpected fetal and maternal death. The etiology is unclear; however, there is a strong association between pregnancy and the rupture of a SAA. Maternal and fetal prognosis is poor and mortality rates remain at 70% and 90%, respectively. Here, we present a case report of the spontaneous rupture of a SAA at the 35th week of gestation, which presented as suddenly developed hypovolemic shock ending in fetal and maternal death.

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