scholarly journals Splenic abscess leading to spontaneous splenic rupture

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Annum A. Bhullar ◽  
Caleb P. Canders ◽  
Amir Rouhani ◽  
Steven Lai
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Splenic Abscess ◽  
Spontaneous Splenic Rupture ◽  
Surgical History ◽  
Missed Diagnosis ◽  
Ruptured Spleen ◽  
Upper Abdominal ◽  
Rupture Of The Spleen ◽  
Dental Work

Spontaneous, atraumatic rupture of the spleen is an uncommon but potentially fatal cause of acute abdominal pain. Splenic abscesses are equally rare and can be a risk factor for spontaneous splenic rupture. We present a 45-year-old man with no past medical or surgical history who presented with acute worsening of left upper abdominal pain that had been present for months, who was discovered to have a ruptured spleen. Splenic abscess was discovered intra-operatively and was thought to have developed after dental work. Recognizing presenting features of spontaneous splenic rupture and understanding its potential causes, such as splenic abscesses, may prevent delayed or missed diagnosis and guide treatment, which typically includes emergent splenectomy.

scholarly journals Spontaneous splenic rupture

2020 ◽  
Vol 24 (2) ◽  
pp. 250-252
Author(s):  
I. O. Kozak ◽  
S. A. Sukhodolia ◽  
L. I. Kozak ◽  
V. V. Ladyshkin
Keyword(s):  
Abdominal Pain ◽  
Literature Review ◽  
Spontaneous Rupture ◽  
Clinical Case ◽  
Splenic Rupture ◽  
Clinical Manifestations ◽  
Diagnostic Errors ◽  
Pathological Changes ◽  
Spontaneous Splenic Rupture ◽  
Rupture Of The Spleen

Annotation. We represent a clinical case of spontaneous rupture of the spleen in a patient 35 years old without of signs of injury and pathological changes of the organ. Based on own clinical experience and literature review, the extreme rarity of such pathology, the atypicality of its clinical manifestations, the causes of diagnostic errors and grave consequences are considered. It is noted that in the operation for acute appendicitis in the absence of destructive changes in the appendix, it is mandatory to search for the cause of abdominal pain, one of which may be a spontaneous rupture of the spleen.

scholarly journals Unusual case of acute onset abdominal pain: uses and limitations of medical imaging

CJEM ◽  
2003 ◽  
Vol 5 (04) ◽  
pp. 263-267
Author(s):  
Glen Bandiera ◽  
Eric Poulin
Keyword(s):  
Abdominal Pain ◽  
Unusual Case ◽  
Splenic Rupture ◽  
Helical Ct ◽  
Acute Onset ◽  
Helical Computed Tomography ◽  
Spontaneous Splenic Rupture ◽  
Contrast Enhanced ◽  
Ruptured Spleen

ABSTRACT A 28-year-old male with atraumatic abdominal pain and transient hypotension was assessed using bedside emergency department (ED) ultrasonography and contrast enhanced helical computed tomography (CT). Both tests revealed free intraperitoneal fluid, but neither detected a splenic defect. The patient subsequently underwent splenectomy for a ruptured spleen. His serology for typical viral causes was negative. This article discusses spontaneous splenic rupture, the role of imaging in diagnosis, and the limitations of ED ultrasound and contrast enhanced helical CT.

scholarly journals The presentation of spontaneous splenic rupture in a COVID-19 patient: a case report

2020 ◽  
Author(s):  
Mohammadreza Mobayen ◽  
Saeed Yousefi ◽  
Mohammadsadegh Mousavi ◽  
Amin Shafighi Anbaran
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Inflammatory Diseases ◽  
Spontaneous Splenic Rupture ◽  
Hematological Diseases ◽  
Medical Centers ◽  
Distress Symptoms ◽  
Patient Reported ◽  
History Of ◽  
Rupture Of The Spleen

Abstract Introduction: Splenic rupture is an emergency condition and the vast numbers of cases are secondary to trauma. Several underlying pathologies have also been associated with splenic rupture, such as hematological diseases, malignancies, and infectious and inflammatory diseases.Presentation of case: The patient was a 52-year-old man who referred to the Poursina Hospital in Rasht while complaining of abdominal pain from the day before hospitalization. The patient reported a history of lethargy, fever, and nausea. In the examinations performed, there was a brief tenderness in the patient's epigastrium. The patient was monitored and about 12 hours after hospitalization, ill appearance, respiratory (respiratory distress) symptoms, and high fever were reported for the patient. According to the examination, the patient was immediately transferred to the operating room and underwent laparotomy. During the operation, contrary to our expectations, a lot of blood (about 1000 cc) was observed in the patient's abdomen. After blood suctioning, the left upper quadrant (LUQ) was bleeding and the rupture of the spleen could also be observed. Therefore, a splenectomy was performed .In the examinations performed for the patient, the patient's rtPCR test confirmed COVID-19.Conclusion: The evaluation of the spontaneous splenic rupture (SSR) in our case shows that this type of risk should also be considered in patients with COVID-19 who referred to medical centers with abdominal pain, and if more cases are reported, the correctness of this process can be commented on.

scholarly journals Spontaneous Splenic Rupture Complicating Severe P. falciparum Infection: A Case Report and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Eltaib Saad ◽  
Elamin Elsamani ◽  
Walid Abdelrahman
Keyword(s):  
Clinical Presentation ◽  
Splenic Rupture ◽  
Clinical Suspicion ◽  
Successful Outcome ◽  
Spontaneous Splenic Rupture ◽  
Malarial Infection ◽  
Threatening Condition ◽  
Life Threatening ◽  
Missed Diagnosis ◽  
Rupture Of The Spleen

Spontaneous rupture of the spleen in malarial infection or malarial splenic rupture (MSR) is a rare but life-threatening condition complicating severe malarial infection in tropics and subtropics, and hence it deserves special attention. A high index of clinical suspicion is warranted for the early diagnosis as delayed or missed diagnosis can be potentially fatal. We report on a 32-year-old male who was diagnosed with severe Plasmodium falciparum infection and presented with an acute abdomen due to spontaneous splenic rupture. He was managed conservatively and had a successful outcome. The epidemiology, pathophysiology, clinical presentation, and management of MSR were briefly discussed in this report.

scholarly journals The presentation of spontaneous splenic rupture in a COVID-19 patient: a case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mohammadreza Mobayen ◽  
Saeed Yousefi ◽  
Mohammadsadegh Mousavi ◽  
Amin Shafighi Anbaran
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Inflammatory Diseases ◽  
Spontaneous Splenic Rupture ◽  
Vast Number ◽  
Medical Centers ◽  
Distress Symptoms ◽  
Patient Reported ◽  
History Of ◽  
Rupture Of The Spleen

Abstract Background Splenic rupture is an emergency condition and a vast number of cases are secondary to trauma. Several underlying pathologies have also been associated with splenic rupture, such as hematological diseases, malignancies, and infectious and inflammatory diseases. Case presentation The patient was a 52-year-old man who referred to the Poursina Hospital in Rasht while complaining of abdominal pain from the day before hospitalization. The patient reported a history of lethargy, fever, and nausea. In the examinations performed, there was a brief tenderness in the patient’s epigastrium. The patient was monitored and about 12 h after hospitalization, ill appearance, respiratory (respiratory distress) symptoms, and high fever were reported for the patient. According to the examination, the patient was immediately transferred to the operating room and underwent laparotomy. During the operation, contrary to our expectations, a lot of blood (about 1000 cc) was observed in the patient’s abdomen. After blood suctioning, the left upper quadrant (LUQ) was bleeding and the rupture of the spleen could also be observed. Therefore, a splenectomy was performed. In the examinations performed for the patient, the patient’s rtPCR test confirmed COVID-19. Conclusion The evaluation of the spontaneous splenic rupture (SSR) in our case shows that this type of risk should also be considered in patients with COVID-19 who refer to medical centers with abdominal pain, and if more cases are reported, the correctness of this process can be commented on.

Malignant Cause of Abdominal Pain in Leukemia: Spontaneous Splenic Rupture

2015 ◽  
Vol 349 (2) ◽  
pp. 189-190 ◽  
Author(s):  
Dipenkumar Modi ◽  
Hirva Mamdani ◽  
Abhinav Deol
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Spontaneous Splenic Rupture

scholarly journals Atraumatic Splenic Rupture in a SARS-CoV-2 Patient: Case Report and Review of Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Marcello Agus ◽  
Maria Elena Ferrara ◽  
Paola Bianco ◽  
Cristina Manieli ◽  
Paolo Mura ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Delayed Diagnosis ◽  
Caucasian Woman ◽  
Threatening Condition ◽  
Life Threatening ◽  
Atraumatic Splenic Rupture ◽  
Rupture Of The Spleen ◽  
Delay Of Diagnosis ◽  
Possible Cause

Splenic rupture in the absence of trauma or previously diagnosed disease is rare. Due to the delay of diagnosis and treatment, this is a potentially life-threatening condition. We report a case of atraumatic splenic rupture in a SARS-CoV-2 patient. This report is of particular interest as it first identifies SARS-CoV-2 infection as a possible cause of spontaneous rupture of the spleen. A 46-year-old Caucasian woman presented at the emergency department pale and sweaty, complaining of syncopal episodes, tachycardia, hypotension, diarrhea, intense abdominal pain, diffuse arthromyalgia, and fever from the day before. RT-PCR was positive for SARS-CoV-2 infection. CT scan demonstrated extensive hemoperitoneum due to rupture of the splenic capsule. The patient required an emergency open splenectomy because of an unresponsive hemorrhagic shock. At the end of the surgery, the patient was relocated to a COVID-19 dedicated facility. COVID-19 is a new disease of which all manifestations are not yet known. Inpatients affected by SARS-CoV-2 infection with abdominal pain and spontaneous splenic rupture should be considered to avoid a delayed diagnosis.

Unique case of atraumatic splenic rupture in a patient with chronic lymphocytic leukaemia with Richter’s transformation

2021 ◽  
Vol 14 (10) ◽  
pp. e242193
Author(s):  
Swetha Paduri ◽  
Nitish Singh Nandu ◽  
Thomas Brucker ◽  
Paul Roach ◽  
Mukta Pant-Purohit
Keyword(s):  
Chronic Lymphocytic Leukaemia ◽  
Lymphocytic Leukaemia ◽  
Splenic Rupture ◽  
B Cell Lymphoma ◽  
Unique Case ◽  
Richter’S Transformation ◽  
Richter's Transformation ◽  
Ruptured Spleen ◽  
Atraumatic Splenic Rupture ◽  
Rupture Of The Spleen

Though rare, atraumatic rupture of the spleen can be a complication in certain leukaemias and lymphomas. We present a unique case of atraumatic rupture of the spleen in a patient with chronic lymphocytic leukaemia. The patient presented to the emergency department with abdominal pain; he had been on ibrutinib therapy but stopped taking the medication abruptly 6 days prior. On evaluation, he was found to have a ruptured spleen with a haemoperitoneum. Pathology of the excised spleen showed infiltration of the spleen with hyperproliferated CD5+ intermediate-to-large cells, consistent with B-cell lymphoma and favouring Richter’s transformation. There are only a few available reports of patients with similar presentations identified in our literature review.

scholarly journals Characteristics of Patients With Spontaneous Splenic Rupture

2014 ◽  
Vol 99 (6) ◽  
pp. 714-718 ◽  
Author(s):  
Pinar Cigdem Kocael ◽  
Osman Simsek ◽  
Ismail Ahmet Bilgin ◽  
Onur Tutar ◽  
Kaya Saribeyoglu ◽  
...  
Keyword(s):  
Emergency Department ◽  
Splenic Rupture ◽  
Splenic Abscess ◽  
Delayed Diagnosis ◽  
Spontaneous Splenic Rupture ◽  
Common Cause ◽  
Cerrahpasa Medical Faculty ◽  
History Of ◽  
Causes Of Mortality ◽  
The Mean

Abstract In the present study, we aim to share our clinical experience in patients with spontaneous splenic rupture. Splenic rupture without trauma is known as spontaneous splenic rupture. The major problems in the management of spontaneous splenic rupture are missed or delayed diagnosis due to the lack of trauma in most cases. The records of all patients, who were admitted to Cerrahpaşa Medical Faculty, Istanbul University, were retrospectively reviewed from January 2000 to March 2013. Twelve patients were admitted to the emergency department and they were diagnosed with spontaneous splenic rupture. The mean age was 47.6 years. All patients had complaints of abdominal pain. The mean hematocrit value was 22%. Radiologic assessment revealed hemoperitoneum and/or subcapsular hematoma in 8 patients while splenic abscess was diagnosed in 2 patients. Eleven patients underwent splenectomy whereas one was managed conservatively. The most common cause of spontaneous splenic rupture was determined to be use of anticoagulants. Etiology was considered to be idiopathic in 1 patient. Two patients died in the postoperative period. Although rare, spontaneous splenic rupture must be suspected in emergency patients who have used especially anticoagulants and antiaggregants and who have had no recent history of trauma. One of the important causes of mortality is missed or delayed diagnosis.

scholarly journals Pathologic Rupture of the Spleen in Mantle-Cell-Type Non-Hodgkin’s Lymphoma

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Christopher B. Tan ◽  
Dhyan Rajan ◽  
Sumreen Majeed ◽  
Shadab Ahmed ◽  
Lester Freedman ◽  
...  
Keyword(s):  
Hodgkin’S Lymphoma ◽  
Splenic Rupture ◽  
Cell Lymphoma ◽  
Hodgkin's Lymphoma ◽  
Medical Emergency ◽  
Spontaneous Splenic Rupture ◽  
Non Hodgkin’S Lymphoma ◽  
Non Hodgkin's Lymphoma ◽  
Mantle Cell ◽  
Rupture Of The Spleen

Mantle cell lymphoma (MCL) accounts for less than 10 percent of all non-Hodgkin’s lymphoma (NHL). Pathologic or spontaneous rupture of the spleen has been reported in patients with lymphoma; however only 5 cases have been reported in patients with MCL. Although splenomegaly occurs frequently in patients with MCL, spontaneous splenic rupture is rare. We present a case of a 51-year-old female with MCL, who presented to the medical emergency room with splenic rupture. This case illustrates that clinicians should be aware of the incidence and presentation of patients with MCL and spontaneous splenic rupture, as early detection and heightened suspicion may prevent potentially fatal outcomes.

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