Non-traumatic splenic rupture: Report of seven cases and review of the literature

[ X ]

Date

2008

Journal Title

Journal ISSN

Volume Title

Publisher

Baishideng Publishing Group Inc

Access Rights

info:eu-repo/semantics/openAccess

Abstract

AIM: To evaluate seven patients with non-traumatic splenic rupture (NSR). NSR is an uncommon dramatic abdominal emergency that requires immediate diagnosis and prompt surgical treatment to ensure the patient's survival. METHODS: Within 11 years, seven cases were evaluated for patient characteristics, anamnesis and symptoms, method of diagnosis, findings of laparotomy, and etiology of NSR. RESULTS: There were six (86%) male and one female (14%) patient, whose mean age was 36 +/- 12.8 (17-56) years. We report here four cases of Plasmodium vivax malaria (cases I -IV), one case of hemodialysis (case V), one case of spontaneous splenic rupture (case VI), and one case of hairy cell leukemia (case VU). Splenectomy was performed in all patients. All of them made an uneventful recovery and were discharged in stable condition. CONCLUSION: NSR is a rare entity that needs a high index of suspicion for diagnosis. Using ultrasonography or computer tomography, and peritoneal aspiration of fresh blood may assist in the diagnosis of NSR. Increased awareness of NSR can enhance early diagnosis and effective treatment. (C) 2008 The WJG Press. All rights reserved.

Description

Keywords

Hairy Cell Leukemia, Hemodialysis, Malaria, Splenic Rupture

Journal or Series

World Journal of Gastroenterology

WoS Q Value

Q3

Scopus Q Value

Q1

Volume

14

Issue

43

Citation