Keywords hematoma subcapsular spontaneo...

hematoma subcapsular spontaneous splenic
Consuelo Gatica, Pablo Soffia, Roberto Charles, Andrés Vicentela
Splenic rupture is a rare but potentially fatal complication of infectious mononucleosis. We report the case of an 18-year-old woman, who presented a 7-day history of abdominal pain, sudden temporary loss of consciousness and fever. Admission blood tests showed anemia, and lymphocytosis. Computed tomography of the abdomen and pelvis demonstrated extensive hemoperitoneum and numerous cervical, mesenteric and inguinal enlarged lymph nodes. Laparoscopy was performed and abundant hemoperitoneum with blood clots along the left parietocolic gutter were observed...
April 2021: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
Emmanuel Fohle, Bradley A Smith, Dubert M Guerrero
Spontaneous splenic rupture is a rare but potentially life-threatening condition. More common infectious causes include infectious mononucleosis, cytomegalovirus (CMV), human immunodeficiency virus (HIV), and malaria. We present a case of a 42-year-old male who was admitted with persistent fevers, myalgia, and a recent ulcerative lesion on the base of his left thumb after a cat bite. He developed abdominal and back pains, left axillary lymphadenopathy, and near syncope. Abdominal computed tomography (CT) scan showed splenomegaly with subcapsular splenic rupture and large hematoma requiring emergent splenic embolization...
February 8, 2021: Curēus
Alexander Janke, Suzette Ikejiani, Charles Mize
Novel oral anticoagulants (NOACs) are increasingly popular. Spontaneous splenic rupture is rare and life-threatening, especially if it is not immediately recognized. Prior work has demonstrated an association with NOAC use and spontaneous splenic rupture in unusual clinical circumstances. We present the case of spontaneous splenic hemorrhage in a largely healthy 57-year old female who was recently started on apixiban for a provoked PE. She had been discharged from an outside facility, and presented just hours after discharge to our emergency department in extremis: unconscious, pale, hypotensive, and tachycardic...
December 20, 2019: American Journal of Emergency Medicine
Yawovi Mawufemo Tsevi, Eyram Yoan Makafui Amekoudi, Kodjo Abossisso Sakiye, Kwame Doh, Kossi Akomola Sabi, Komi Dzidzonu Nemi, Kodjo Agbeko Djagadou, Eugène Attisso, Clement Kan Ackounddou
We report a case of rupture of spontaneous subcapsular splenic hematoma caused by toxic product and revealed by acute renal failure with intravascular hemolysis.
2019: Pan African Medical Journal
Safae El Abbadi, Fatima Zahra Rhouni, Laila Jroundi
This study reports a case of spontaneous subcapsular splenic ruptured hematoma (with hemoperitoneum) and provides update on this rare disease. Non-traumatic ruptures can be fatal. Diagnosis is sometimes difficult. They often reveal an underlying pathology including infections, tumors or hematologic disorders. Symptomatology commonly has an abrupt onset but progressive forms are also possible. The majority of patients undergo splenectomy.
2017: Pan African Medical Journal
Bruno Niemeyer de Freitas Ribeiro, Rafael Santos Correia, Tiago Medina Salata, Fernanda Salata Antunes, Edson Marchiori
No abstract text is available yet for this article.
March 2017: Radiologia Brasileira
Hamidou Dème, Léra Géraud Akpo, Seynabou Fall, Nfally Badji, Ibrahima Ka, Mohamadou Lamine Guèye, Mouhamed Hamine Touré, El Hadj Niang
Wandering or migrating spleen is a rare anomaly which is usually described in children. Complications, which include pedicle torsion, are common and can be life-threatening. We report the case of a 17 year-old patient with a long past medical history of epigastric pain suffering from wandering spleen with chronic torsion of the pedicle. The clinical picture was marked by spontaneously painful epigastric mass, evolved over the past 48 hours. Abdominal ultrasound objectified heterogeneous hypertrophied ectopic spleen in epigastric position and a subcapsular hematoma...
2016: Pan African Medical Journal
Pinar Cigdem Kocael, Osman Simsek, Ismail Ahmet Bilgin, Onur Tutar, Kaya Saribeyoglu, Salih Pekmezci, Ertugrul Goksoy
In the present study, we aim to share our clinical experience in patients with spontaneous splenic rupture. Splenic rupture without trauma is known as spontaneous splenic rupture. The major problems in the management of spontaneous splenic rupture are missed or delayed diagnosis due to the lack of trauma in most cases. The records of all patients, who were admitted to Cerrahpaşa Medical Faculty, Istanbul University, were retrospectively reviewed from January 2000 to March 2013. Twelve patients were admitted to the emergency department and they were diagnosed with spontaneous splenic rupture...
November 2014: International Surgery
Peter Waweru, Jana Macleod, Anthony Gikonyo
Spontaneous splenic rupture in complicated malaria is an uncommon cause of hemoperitoneum in the tropics. The exact incidence of splenic rupture is unknown, largely due to under-reporting, but has been estimated at ∼2%. Its pathophysiology is linked to the formation of a subcapsular hematoma. Upon rupture, patients present with features of shock and peritonitis and in most cases (95%), computed tomography (CT) scan detects the splenic injury. Patients should be managed conservatively with splenectomy reserved for patients with shock and hemoperitoneum due to risk of post-splenectomy sepsis...
November 13, 2014: Journal of Surgical Case Reports
Michael Sawrey, Richard Glyn Hughes
A 55-year-old man attended the emergency department following an episode of collapse. He was known to have chronic pancreatitis and a pancreatic pseudocyst. He had recently been recumbent due to chronic abdominal pain. On arrival he was unwell. Baseline observations revealed an oxygen saturation of 87% on room air, pulse 115 bpm and blood pressure 86/57 mm Hg. Physical examination was unremarkable except for mild abdominal tenderness. He was started on high-flow oxygen, intravenous fluid and broad-spectrum antibiotics...
May 21, 2013: BMJ Case Reports
Alex Ganetsky, Colleen Kucharczuk, Sarah Del Percio, Noelle Frey, Saar Gill
OBJECTIVE: To report the development of a spontaneous subcapsular splenic hematoma following filgrastim administration in a patient undergoing an allogeneic hematopoietic stem cell transplant. CASE SUMMARY: A 60-year-old female with myelodysplastic syndrome was admitted for a reduced-intensity allogeneic hematopoietic stem cell transplant from an unrelated donor. She received filgrastim 5 μg/kg starting on day 1 to accelerate neutrophil recovery. On day 5, she began reporting severe left chest-wall pain...
May 2013: Annals of Pharmacotherapy
Karthik Purushothaman, David W Borowski
We report the case of a patient with multiple splenic complications from chronic pancreatitis with pseudocyst formation, including splenic vein thrombosis, subcapsular splenic haematoma and splenic artery pseudoaneurysm. The initial presentation was associated with pleuritic chest pain, clinically resembling symptoms of pulmonary embolism. The patient was treated with therapeutic low-molecular-weight heparin, without confirmatory imaging. However, the latter arranged computed tomographic pulmonary angiogram was negative, while the abdominal sequences of the CT revealed the splenic haematoma as causative pathology...
November 11, 2012: BMJ Case Reports
Seckin Akkucuk, Akin Aydogan, Hasan Gokce, Ramazan Davran, Murat Karcioglu
Introduction. Splenic hematomas usually occur after blunt abdominal trauma. Most of the subcapsular hematomas will be resolved and reabsorbed spontaneously. However in rare cases, some of them organize and form calcified splenic masses. Angiosarcoma is an uncommon primary tumor of the spleen. Splenic angiosarcoma behaves extremely aggressive and has poor prognosis. Case Presentation. We report a forty-nine-year-old white male with organized splenic hematoma due to traffic accident mimicking splenic angiosarcoma...
2012: Case Reports in Oncological Medicine
Tuna Demirdal, Nazan Okur, Nese Demirturk
Brucellosis is one of the most common zoonotic diseases worldwide with a variable frequency in European countries. Brucellosis is usually transmitted after direct contact with or consumption of dairy products from an infected animal. Initially, our patient, a 65 year-old man, had nonspecific manifestations of fever, malaise, headache, anorexia and arthralgia which are the classic symptoms of this disease. After the diagnosis of brucellosis had been confirmed by blood culture and serology, progressive thrombocytopenia developed in spite of appropriate antibiotic administration...
2011: Chang Gung Medical Journal
Andrzej B Szczepanik, Sławomir Gajda, Anna M Szczepanik, Andrzej Misiak
UNLABELLED: Spontaneous splenic rupture is a rare complication of infectious mononucleosis observed in 0.1-0.5% of patients with this condition. Mandatory mode of management in hemodynamically stable patients is nonoperative treatment. We report the case of a 19-year old man with splenic rupture, during the course of serological and hematological confirmed infectious mononucleosis, with no history of trauma. Parenchymal and subcapsular splenic hematomas and presence of blood in vesico-rectal recess was demonstrated...
April 2011: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Nada Brncić, Brankica Mijandrusić-Sincić, Relja Perić, Sandra Milić, Lari Gorup, Marzena Mazur-Grbac
Splenic rupture is rare but life threatening complication of mononucleosis syndrome. It has been suggested that subcapsular splenic hematoma formation precedes rupture. The case of 44-year-old, previously healthy, male with splenic hematoma occurring after rising of heavy cargo is reported. Mononucleosis syndrome was suggested based on routine laboratory tests (elevated white blood cell count with predominance of lymphocytes and raised serum transaminases) and CMV infection was confirmed by serological test...
April 2010: Collegium Antropologicum
Vidhyachandra Gandhi, Sujith Philip, Amit Maydeo, Nilesh Doctor
No abstract text is available yet for this article.
April 2010: Tropical Gastroenterology: Official Journal of the Digestive Diseases Foundation
M A Blasco-Navalpotro, F Del Nogal-Sáez, J Suárez-Sáiz
No abstract text is available yet for this article.
May 2011: Medicina Intensiva
Pietro Renzulli, Alain Schoepfer, Esther Mueller, Daniel Candinas
BACKGROUND: Splenic involvement in amyloidosis is rather frequent (5-10%). An atraumatic rupture of the affected spleen is however an extremely rare event. We report on a patient with undiagnosed amyloidosis who underwent emergency splenectomy for atraumatic splenic rupture. METHODS: Review of the literature and identification of 31 patients, including our own case report, with atraumatic splenic rupture in amyloidosis. Analysis of the clinical presentation, the surgical management, the nomenclature and definition of predisposing factors of splenic rupture...
March 2009: Amyloid: the International Journal of Experimental and Clinical Investigation
Dana Tomescu, Anca Vişan, I Popescu, D Tulbure
We report the case of a 56 years old male patient, smoker, obese, with untreated arterial hypertension, hospitalized on 16.02.07 with the diagnosis of inferior acute myocardial infarction, for which he received thrombolysis with streptokinase, followed by anticoagulation with non fractioned heparin. Two days later he started to complain of acute abdominal pain, and laboratory findings showed a low hemoglobin level. Imaging findings (ultrasonography and CT scan) showed evidence of subcapsular liver haematoma, caused by bleeding at hepatic and splenic level...
September 2008: Chirurgia
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