A rare cause of abdominal pain: Spontaneous rupture of the spleen

Yıl 2021, , 389 - 391, 01.04.2021

Esma Nilay Odabaş , Hazal Topçuoğlu Turabi Aydoğan , Vildan Özer , Yunus Karaca

https://doi.org/10.28982/josam.741681

Öz

Spontaneous spleen rupture (SSR) has a high mortality rate, and numerous factors have been blamed in its etiology. In this case study, the purpose was to discuss a patient diagnosed with SSR in light of the literature. A 62-year-old male patient, who gave verbal permission to be presented in the case report, was admitted to the Emergency Service with abdominal pain, nausea, vomiting, and diarrhea complaints that started the day before. In the Focused Assessment with Sonography for Trauma (FAST) Ultrasonography (USG) of the patient, there was widespread free fluid in perihepatic and perisplenic areas. IV-contrasted abdominal computerized tomography (CT) revealed an unruptured saccular aneurysm in the left iliac artery, extravasation in the upper pole of the spleen, sub-capsular hematoma in the spleen, and widespread hemorrhagic fluid in the abdomen. The patient was diagnosed with rupture of the spleen and operated. It should be considered that patients applying to emergency services with abdominal pain and distension, with no trauma history, and anemia with no known cause in their examinations may have SSR.

Anahtar Kelimeler

Spleen rupture, spontaneous, abdominal pain

Kaynakça

• 1. Renzulli P, Hostettler A, Schoepfer AM, Gloor B, Candinas D. Systematic review of atraumatic splenic rupture. Br J Surg. 2009;96:1114-21.
• 2. David MC, John Ma O, Cydulka RK, Meckler GD, Handel DA, Thomas SH. Tintinalli’nin Acil Tıp El Kitabı. 7.baskı. Çeviri ed: Özmen MM. Güneş Tıp Kitapevi, Ankara. 2013;828.
• 3. Robak T, Wierzboeska A. Current and Emerging Therapies for Acute Myeloid Leukemia. Clinical Therapeutics. 2009;31(Theme Issue):2349-70.
• 4. Chapman AL, Watkin R, Ellis CJ. Abdominal pain in acute infectious mononucleosis. BMJ. 2002;324:660-1.
• 5. Diz-Küçükkaya R, Gushiken FC, Lopez JA. Thrombocytopenia. Lichtman, Beutler, Kipps, Seligsohn, Kaushansky, Prchal (eds): Williams Hematology. The McGraw-Hill Companies, New York, 2006;1749-83.
• 6. Rhee SJ, Sheena Y, Imber C. Spontaneous rupture of the spleen: a rare but important differential of an acute abdomen. Am J Emerg Med. 2008;26:e5–6.
• 7. Bauer TW, Haskins GE, Armitage JO. Splenic rupture in patients with hematologic malignancies. Cancer. 1981;48:2729-33.
• 8. Altes A, Brunet S, Martinez C, Soler J, Ayats R, Sureda A, et al. Spontaneous splenic rupture as the initial manifestation of acute lymphoblastic leukaemia: immunophenotype and cytogenetics. Ann Hematol. 1994;68:143-4.
• 9. Klinkert P, Kluit AB, de Vries AC, Puylaert JB. Spontaneous rupture of the spleen: role of ultrasound in diagnosis, treatment, and monitoring. Eur J Surg. 1999;165:712-3.
• 10. Torricelli P, Coriani C, Marchetti M, Rossi A, Manenti A. Spontaneous rupture of the spleen: report of two cases. Abdom Imaging. 2001;26:290-3.
• 11. Gedik E, Girgin S, Aldemir M, Keles C, Tuncer MC, Aktas A. Non-traumatic splenic rupture: report of seven cases and review of the literature. World J Gastroenterol. 2008;14:6711-6.