Atraumatic splenic rupture in chronic pancreatitis with successful embolization

Atraumatic splenic rupture is uncommon but it is a life threatening condition because of hypovolemic shock. Early recognition and treatment are the keys to asuccessful outcome. We report a case of atraumatic splenic rupture secondary to chronic pancreatitis treated successfully by splenic artery embolization.

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Neonatal Rupture of the Spleen: Successful Treatment with Splenic Artery Embolization

American Journal of Perinatology Reports ◽

10.1055/s-0041-1727257 ◽

2021 ◽

Vol 11 (02) ◽

pp. e58-e60

Author(s):

Jelle W. Raats ◽

Lievay van Dam ◽

Pieter J. van Doormaal ◽

Marjoleine van Hengel-Jacobs ◽

Hester Langeveld-Benders

Keyword(s):

Splenic Artery ◽

Splenic Injury ◽

Splenic Rupture ◽

Early Recognition ◽

Artery Embolization ◽

Splenic Artery Embolization ◽

Fatal Injury ◽

First Case ◽

Rupture Of The Spleen ◽

Abdominal Hemorrhage

AbstractNeonatal intra-abdominal hemorrhage has been rarely reported in the literature. We report a case of splenic injury in a neonate, highlighting the importance of a high-index suspicion in early recognition of this rare and potentially fatal injury. We report the first case of a neonate who had a splenic rupture and underwent successful endovascular treatment.

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Splenic artery embolization for atraumatic splenic rupture

Journal of Cardiac Surgery ◽

10.1111/jocs.15002 ◽

2020 ◽

Vol 35 (12) ◽

pp. 3642-3644

Author(s):

Zoe A. Miller

Keyword(s):

Splenic Artery ◽

Splenic Rupture ◽

Artery Embolization ◽

Splenic Artery Embolization ◽

Atraumatic Splenic Rupture

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Splenic Artery Embolization after Delayed Splenic Rupture Following Blunt Trauma: Is Nonoperative Management Still an Option in This Cohort?

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2020.10.011 ◽

2021 ◽

Vol 32 (4) ◽

pp. 586-592

Author(s):

Warren Clements ◽

Joseph Mathew ◽

Mark C. Fitzgerald ◽

Jim Koukounaras

Keyword(s):

Blunt Trauma ◽

Splenic Artery ◽

Splenic Rupture ◽

Nonoperative Management ◽

Artery Embolization ◽

Splenic Artery Embolization ◽

Delayed Splenic Rupture

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

Case Reports in Surgery ◽

10.1155/2021/5553619 ◽

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.

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Laparoscopic Splenectomy for Atraumatic Splenic Rupture

International Surgery ◽

10.9738/1382.1 ◽

2011 ◽

Vol 96 (1) ◽

pp. 87-89 ◽

Cited By ~ 2

Author(s):

Ugo Grossi ◽

Antonio Crucitti ◽

Gerardo D'Amato ◽

Andrea Mazzari ◽

Pasquina M. C. Tomaiuolo ◽

...

Keyword(s):

Laparoscopic Splenectomy ◽

Splenic Rupture ◽

Clinical Entity ◽

Rare Clinical Entity ◽

Life Saving ◽

Threatening Condition ◽

Life Threatening ◽

Atraumatic Splenic Rupture ◽

Prompt Diagnosis

Abstract Atraumatic splenic rupture (ASR) is a rare clinical entity. Several underlying benign and malignant conditions have been described as a leading cause. We report on a case of ASR in a 41-year-old man treated with laparoscopic splenectomy. Considering ASR as a life-threatening condition, a prompt diagnosis can be life saving.

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It’s never too late- spontaneous rupture of spleen and life-threatening hypovolemic shock in a patient recuperating from legionnaire’s disease

Journal of Anaesthesia and Critical Care Reports ◽

10.13107/jaccr.2021.v07i02.173 ◽

2021 ◽

Vol 7 (2) ◽

Keyword(s):

Splenic Rupture ◽

Hypovolemic Shock ◽

Traumatic Rupture ◽

Quadrant Pain ◽

Legionella Pneumonia ◽

Threatening Condition ◽

Life Threatening ◽

Legionnaires Disease ◽

Low Threshold ◽

Rupture Of The Spleen

Spontaneous non-traumatic rupture of the spleen in the setting of Legionnaires’ disease is very uncommon but a life-threatening condition. The splenic rupture can present within a few days after symptom onset with significant hypotension with drop in haemoglobin along with left side upper quadrant pain. Most of the cases described in the previous literature have presented within 0-11 (mean 4) days of the pneumonia but this case we are reporting presented after 3 weeks after being treated with Legionella pneumonia. The case also highlights an atypical presentation and emphasises the need to maintain a low threshold for diagnosis especially in resource constrained setting so that patient can be transferred at the earliest to a centre where appropriate corrective measures including surgery can be safely undertaken. Keywords: splenic rupture, pneumonia, hypovolemic shock

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