Nadir Görülen Bir Olgu; Spontan Dalak Rüptürü

Öz

Primer dalak anjiosarkomu ve buna bağlı olarak görülen spontan dalak rüptürü çok nadir görülen bir hastalıktır. Bu yazıda ani başlangıçlı karın ağrısı ile başvuran ve geliş muayenesinde şok bulguları olan, sonrasında yapılan değerlendirmede dalak rüptürü tespit edilen olgu tartışıldı. Olgumuzda anjiosarkom tanısı post-op patoloji materyal sonucu ile konuldu. Dalak rüptürü gelişen anjiosarkom olgularında mortalite çok yüksek seyrettiğinden, hastalara dalak anjiosarkom tanısı aldığı takdirde erken dönemde splenektomi uygulanmalıdır.  

Anahtar Kelimeler

• Acil servis,Dalak,Spontan rüptür

A Rare Case: Spontaneous Splenic Rupture Because of Splenic Angiosarcoma

Öz

Primary splenic angiosarcoma and associated spontaneous splenic rupture are very rare diseases. In this article, we discussed a patient who had the complaint of sudden onset abdominal pain, had shock findings in the first examination and who was diagnosed with splenic rupture in the later evaluation. In our case, the patient was diagnosed with angiosarcoma by post-operative pathology material results. Since mortality rate is very high in angiosarcoma patients who develop splenic rupture; splenectomy should be performed in the early period, if patients are diagnosed with splenic angiosarcoma.  

Anahtar Kelimeler

• Emergency department,Spleen,Spontaneous rupture

Kaynakça

1. 1. Akoury T, Whetstone DR. Splenic Rupture. 2019 May 6. StatPearls [Internet].Treasure Island (FL): StatPearls Publishing; 2019 Jan.
2. 2. LI, Rong, et al. Clinical Characteristics and Prognostic Factors of Primary Splenic Angiosarcoma: A Retrospective Clinical Analysis from China. Cellular Physiology and Biochemistry, 2018; 1959-1969.
3. 3. Henden ÇP, Baydin A, Yürüker S, Erenler AK, Şengüldür E. Investigation of Geriatric Patients with Abdominal Pain Admitted to Emergency Department. Curr Gerontol Geriatr Res. 2018; 9109326.
4. 4. Yang KF, Li Y, Wang DL, Yang JW, Wu SY, Xiao WD. Primary splenic angiosarcoma with liver metastasis: A case report and literature review. World J Gastroenterol. 2016; 22(12):3506-10.
5. 5. Azevedo OS, Nascimento Santos B, Souza Liboni N, Costa JF, Campos OD. Splenic Angiosarcoma: A Diagnostic Splenectomy Finding. Case Rep Oncol. 2016; 9(3):733-737.
6. 6. Chapman AL, Watkin R, Ellis CJ. Abdominal pain in acute infectious mononucleosis. BMJ 2002; 324:660-661.
7. 7. Duan YF, Jiang Y, Wu CX, Zhu F. Spontaneous rupture of primary splenic angiosarcoma: a case report and literature review. World J Surg Oncol. 2013; 4:11-53
8. 8. Mc Entee GP, Otridge BW, Hefferman SJ. Acute lymphocytic leukemia presenting as spontaneous splenic rupture. Ir J Med Sci. 1984; 153:284-285.

9. 9. Mayir B, Colak T, Dinçkan A. Spontaneous spleen rupture due to primary splenic angiosarcoma: a case report. Ulus Travma Acil Cerrahi Derg. 2007 Oct;13(4):313-15.
10. 10. Gaballah AH, Jensen CT, Palmquist S, Pickhardt PJ, Duran A, Broering G, Elsayes KM. Angiosarcoma: clinical and imaging features from head to toe. Br J Radiol. 2017 Jul;90(1075):20170039.
11. 11. Chen F, Jin HF, Fan YH, Cai LJ, Zhang ZY, Lv B. Case report of primary splenic angiosarcoma with hepatic metastases. World J Gastroenterol. 2015 Oct 21;21(39):11199-204.