DELAYED SPLENIC RUPTURE IN MASSIVE SPLENOMEGALY--A CASE REPORT/ODLOZENA RUPTURA SLEZINE KOD MASIVNE SPLENOMEGALIJE--PRIKAZ SLUCAJA

Citation metadata

Authors: Srdan S. Putnik and Miroslav D. Ilic
Date: January-February 2018
From: Medicinski Pregled(Vol. 71 -2, Issue 1)
Publisher: Drustvo Lekara Vojvodine
Document Type: Report
Length: 1,557 words

Main content

Abstract :

Introduction. We present a patient with a delayed rupture of the spleen following a mild abdominal trauma. For years, the patient was treated for hereditary massive splenomegaly with thrombocytopenia, without established etiology. Case Report. The initial non-operative treatment lasted seven days, after which the patient was readmitted to the Emergency Department with signs of intra-abdominal hemorrhage and underwent emergency open splenectomy. Even after pathohistological examination, the etiology of massive splenomegaly remained unknown. Conclusion. Conservative treatment is not recommended in cases of massive splenomegaly; thorough surgical observation in a tertiary care hospital with interventional radiology and a good multidisciplinary team is necessary, while splenectomy is a surgery of choice. Keywords: Splenic Rupture; Splenomegaly; Abdominal Injuries; Delayed Diagnosis; Wounds, Nonpenetrating; Hemorrhage; Splenectomy; Thrombocytopenia; Risk Factors; Diagnosis Uvod. Prikazanje slucaj pacijenta sa naslednom splenomegalijom pracenom trombocitopenijom nerazjasnjene etiologije i odlozenom rupturom slezine nakon blage tupe traume abdomena. Prikaz slucaja. Kod pacijenta je primenjeno konzervativno lecenje nakon inicijalne dijagnostike traume, a sedam dana je kasnije pacijent re-hospitalizovan sa znacima masivnog intraabdominalnog krvarenja kada je podvrgnut otvorenoj splenektomiji, sa uspesnim ishodom. Nakon patohistoloskog ispitivanja, etiologija masivne splenomegalije ostaje nepoznata. Zakljucak. Kod masivne splenomegalije konzervativno lecenje abdominalne traume se ne preporucuje zbog povecanog rizika od rupture organa. Ukoliko je moguce pacijenta treba uputiti u tercijarnu ustanovu sa mogucnoscu interventne embolizacije organa i dobrim multidisciplinarnim timom. Hirurska splenektomija jeste metoda izbora kada dode do znaka masivne intraabdominalne hemoragije. Kljucne reci: ruptura slezine; splenomegalija; povrede abdomena; odlozena dijagnoza; nepenetrirajuce rane; krvarenje; splenektomija; trombocitopenija; faktori rizika; dijagnoza

Source Citation

Source Citation
Putnik, Srdan S., and Miroslav D. Ilic. "DELAYED SPLENIC RUPTURE IN MASSIVE SPLENOMEGALY--A CASE REPORT/ODLOZENA RUPTURA SLEZINE KOD MASIVNE SPLENOMEGALIJE--PRIKAZ SLUCAJA." Medicinski Pregled, vol. 71 -2, no. 1, Jan.-Feb. 2018, pp. 49+. Accessed 5 July 2022.
  

Gale Document Number: GALE|A545697793