An unusual presentation of non pathological delayed splenic rupture: a case report.
Affiliation
Department of Surgery, Naas General Hospital, Naas co, Kildare, Ireland. tahirkheli73@gmail.comIssue Date
2009
Metadata
Show full item recordCitation
An unusual presentation of non pathological delayed splenic rupture: a case report. 2009, 2:6450 Cases JJournal
Cases journalDOI
10.4076/1757-1627-2-6450PubMed ID
19829806Abstract
The diagnosis of Delayed Splenic Rupture poses a major challenge to even the most astute clinician, as it can mimic other medical emergencies. We present a case of an unusual presentation of delayed splenic rupture in a 23-year-old Caucasian man, who presented to the emergency department with a 2 day history of left upper quadrant pain. He initially denied any history of trauma. There were no signs of generalized peritonisim on examination but his haemoglobin level was low (8.9 gm/dl) for which there was no obvious cause identified. He was resuscitated and a computed tomography of the abdomen was performed. This revealed complete rupture of the splenic capsule with haemorrhagic fluid in the abdomen. With the computed tomography abdomen findings and further questioning of the patient, the only potential precipitating event that he could remember was a minor kick to the left upper quadrant more than 2 weeks ago while playing football. An urgent splenectomy was performed and histology confirmed complete rupture of the splenic capsule with a large adherent haematoma to the capsule. This case illustrates the difficulty in diagnosing delayed splenic rupture especially when accurate history is not available. A high index of suspicion is essential as delay in diagnosis can be fatal. Early diagnosis in suspected cases can be achieved by performing computed tomography of the abdomen.Item Type
ArticleLanguage
enISSN
1757-1626ae974a485f413a2113503eed53cd6c53
10.4076/1757-1627-2-6450
Scopus Count
Collections
Related articles
- Delayed Splenic Rupture Resulting in Massive Intraperitoneal Hemorrhage Post Ambulatory-Related Injury.
- Authors: Anyanwu CT, Reynal SD
- Issue date: 2018 Feb 5
- Spontaneous splenic rupture: a rare first presentation of diffuse large B cell lymphoma.
- Authors: Dunphy L, Abbas SH, Patel A, Tebala G
- Issue date: 2019 Aug 26
- A case of splenic rupture: a rare event after laparoscopic cholecystectomy.
- Authors: Geraci G, Picciurro A, Attard A, Modica G, Cajozzo M, Sciumè C
- Issue date: 2014 Dec 11
- A rare mechanism of delayed splenic rupture following the nonoperative management of blunt splenic injury in a child.
- Authors: Shinkai T, Ono K, Masumoto K, Urita Y, Gotoh C
- Issue date: 2018 Jul 11
- Non-traumatic splenic rupture - a rare first presentation of diffuse large B-cell lymphoma and a review of the literature.
- Authors: Kaniappan K, Lim CTS, Chin PW
- Issue date: 2018 Aug 2