scholarly journals A case of Peritonitis with pneumoperitoneum secondary to a spontaneous rupture of splenic abscess

2021 ◽  
Vol 20 (3) ◽  
pp. 651-653
Author(s):  
Mohamed Hajri ◽  
Ghofrane Talbi ◽  
Dhouha Bacha ◽  
Wael Ferjaoui ◽  
Lassad Gharbi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Severe Sepsis ◽  
Abdominal Pain ◽  
Diabetic Patient ◽  
Spontaneous Rupture ◽  
Medical Science ◽  
Splenic Abscess ◽  
Abdominal Computed Tomography ◽  
Acute Peritonitis

Sponteous rupture of a splenic abscess is rare and little described in the literature. It can cause peritonitis with pneumoperitoneum. Our case illustrates this exceptional complication in a 77 year-old diabetic patient who consulted for abdominal pain with asthenia. The abdominal computed tomography showed an acute peritonitis caused by with splenic abscess. Aeoporty was also observed. He was operated but died postoperatively for severe sepsis. Our case is rare and interesting. Indeed, a splenic abscess can be the cause of peritonitis, pneumoperitoneum and aeorportie. Bangladesh Journal of Medical Science Vol.20(3) 2021 p.651-653

scholarly journals Giant splenic abscess caused by Salmonella enterica

2021 ◽  
Author(s):  
Francesk Mulita ◽  
Elias Liolis ◽  
Levan Tchabashvili ◽  
Fotis Iliopoulos ◽  
Nikolas Drakos ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Salmonella Enterica ◽  
Splenic Abscess ◽  
Percutaneous Aspiration ◽  
Abdominal Computed Tomography ◽  
Considerable Size ◽  
Large Abscess

A 14-year-old boy presented to our Emergency Department complaining of fever, and abdominal pain. An abdominal computed tomography showed a large abscess of the spleen. Percutaneous aspiration of the lesion was performed. Splenectomy was performed 38 days after percutaneous aspiration because of the abscess’s considerable size.

scholarly journals Spontaneous rupture of the ovarian vein in association with nutcracker syndrome: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Akihito Yamamoto ◽  
Seiryu Kamoi ◽  
Shunji Suzuki
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Renal Vein ◽  
Spontaneous Rupture ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Vascular Network ◽  
Retroperitoneal Hematoma ◽  
Nutcracker Syndrome ◽  
Ovarian Vein

Abstract Background Nutcracker syndrome is a condition in which the left renal vein is pinched between the abdominal aorta and the superior mesenteric artery, resulting in an increase in renal vein pressure and certain symptoms. We report a very rare case of retroperitoneal hematoma caused by the rupture of varicose veins of the left ovary. Case presentation A 77-year-old Japanese woman, para 7, experienced sudden left lower abdominal pain. She had no history of trauma or treatment complications. Computed tomography revealed a left retroperitoneal hematoma, but her abdominal pain subsided quickly; thus, urgent treatment was not required. We then scheduled her for an assessment regarding the cause of her bleeding. However, 6 days after the pain onset, abdominal pain symptoms recurred, confirming hematoma regrowth. Magnetic resonance imaging and three-dimensional computed tomography revealed an abnormal vascular network from the left side of the uterus to the left adnexa. Subsequent angiography revealed that the retroperitoneal bleeding originated from rupture of the distended left ovarian vein, which caused blood reflux from the left renal vein to the left ovarian vein. Although angiography confirmed a passage between the left renal vein and inferior vena cava, computed tomography showed obvious stenosis in the left renal vein. In accordance with these findings, we diagnosed the cause of the distention and rupture of the left ovarian vein as nutcracker syndrome. She underwent embolization of the left ovarian vein as hemostasis treatment, and had a good course thereafter. Conclusions This is the first report of a spontaneous rupture of the left ovarian vein caused by nutcracker syndrome. Nutcracker syndrome is not yet well known to clinicians and should be considered as part of the differential diagnosis when an abnormal vascular network in the pelvis is found.

The use of abdominal computed tomography in older ED patients with acute abdominal pain

2005 ◽  
Vol 23 (3) ◽  
pp. 259-265 ◽  
Author(s):  
Fredric M. Hustey ◽  
Stephen W. Meldon ◽  
Gerald A. Banet ◽  
Lowell W. Gerson ◽  
Michelle Blanda ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Abdominal Computed Tomography

scholarly journals Spontaneous Rupture of Hepatocellular Carcinoma in a Young Patient with Fatal Outcome

2018 ◽  
Vol 12 (1) ◽  
pp. 19-26 ◽  
Author(s):  
David F. Pinal-García ◽  
Carlos M. Nuño-Guzmán ◽  
Audrey Gómez-Abarca ◽  
Jorge L. Corona ◽  
Ismael Espejo
Keyword(s):  
Computed Tomography ◽  
Hepatocellular Carcinoma ◽  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Young Patient ◽  
Spontaneous Rupture ◽  
Liver Tumors ◽  
Transarterial Embolization ◽  
Fatal Outcome ◽  
Noncirrhotic Liver

Spontaneous rupture of hepatocellular carcinoma (HCC) is a potentially life-threatening complication. Diagnosis may be difficult, particularly in the absence of known liver cirrhosis or tumor. A 20-year-old male patient presented with progressive abdominal pain and shock. His past medical history was uneventful. Anemia, acute renal failure, and abnormal liver function test were demonstrated. Mild hepatomegaly, perihepatic and flank fluid, and multiple hypodense liver lesions suggestive of intrahepatic metastases or multifocal HCC were revealed by computed tomography. Two actively bleeding liver tumors and multiple tumors in a noncirrhotic liver were found. Hemostatic suture and perihepatic packing were performed. The patient remained in critical condition, with a fatal outcome 48 h later. Histopathologic analysis reported HCC and absence of cirrhotic changes. HCC spontaneous rupture incidence is reported between 2.3 and 26%. Median age is 65 years. No liver cirrhosis is found in one-third of patients, with a median age of 51 years. Sudden onset of abdominal pain and shock is observed in the majority of cases. An accurate preoperative diagnosis improves to 75% with ultrasound and computed tomography. Besides hemodynamic stabilization, there is no general agreement on the best treatment option. Transarterial embolization, surgical perihepatic packing, suture plication, and hepatic artery ligation are useful methods of hemostasis in unstable patients. Mortality has been reported from 16.5 to 100%. The histopathologic finding of HCC in a noncirrhotic liver represents a less frequent presentation. A case of spontaneous rupture of HCC carcinoma and a noncirrhotic liver in a young patient is herein reported.

scholarly journals Gallstones Ileus

2020 ◽  
Author(s):  
Giovanni Petracca ◽  
Francesco Zappia ◽  
Fabrizio Silvaggio
Keyword(s):  
Computed Tomography ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Rare Complication ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Intestinal Lumen ◽  
Abdominal Computed Tomography ◽  
Clinical Signs And Symptoms ◽  
Bilioenteric Fistula

The ileus of gallstones is a rare complication of cholelithiasis which occurs in less than 1% of patients and is the cause of 1–4% of cases of obstruction of the small intestine. The pathogenesis involves the formation of a bilioenteric fistula. Abdominal computed tomography (CT) shows pneumobilia, dilated loops of small intestine, and ectopic gallstones that obstruct the intestinal lumen. In literature, enterolithotomy is the most frequently used procedure for the ileum of gallstones. Enterolithotomy plus cholecystectomy and/or fistulectomy are indicated only in selected patients. The clinical signs and symptoms depend on the site of the obstruction and usually include abdominal pain, nausea, and vomiting. The diagnostic test of choice is an abdominal CT scan.

scholarly journals Acute Colonoscopy-Induced Splenic Rupture Presenting to the Emergency Department

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Monica D. Chow ◽  
Richard D. Shih
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Emergency Medicine ◽  
Abdominal Pain ◽  
Splenic Rupture ◽  
Abdominal Ultrasound ◽  
Free Fluid ◽  
Abdominal Computed Tomography

Splenic rupture due to colonoscopy is a rarely reported event in the emergency medicine literature. Patients experiencing such an occurrence are likely to report to the emergency department. This paper documents an 84-year-old female who presented to the emergency department with abdominal pain and nausea less than 24 hours following a colonoscopy. An abdominal ultrasound revealed splenomegaly and free fluid. An abdominal computed tomography was significant for a splenic laceration. She underwent radiologic guided embolization and recovered without incident. Emergency medicine physicians need to consider splenic rupture as a differential in patients presenting after colonoscopy with abdominal pain.

Sign in / Sign up

Export Citation Format

Share Document