6,061 results match your criteria Splenic Rupture

An Undiagnosed Case of Chronic Pancreatitis With Multiple Visceral Arteries Pseudoaneurysm.

Cureus 2021 May 1;13(5):e14789. Epub 2021 May 1.

General Medicine, Rehman Medical Institute, Peshawar, PAK.

Visceral artery aneurysms, which could be either true or pseudo, are abnormal focal dilations of vessels supplying the abdominal organs. True aneurysms, by definition, suggest dilation of the vessel in response to increased blood flow, ultimately causing a blood-filled sac to form. Pseudoaneurysm, however, is the pooling of blood in surrounding tissues secondary to trauma or rupture. Read More

View Article and Full-Text PDF

Reinterventions after fenestrated and branched endografting for degenerative aortic aneurysms.

J Vasc Surg 2021 Jun 1. Epub 2021 Jun 1.

Vascular Surgery, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Sant'Orsola-Malpighi, Bologna - Italy.

Objective: Fenestrated/branched endografting (F/B-EVAR) is widely accepted technique to treat juxta/para-renal (j/p-AAAs) and thoracoabdominal (TAAAs) aneurysms, in patients at high-surgical risk. However, follow-up results should be carefully evaluated, particularly in terms of reinterventions rate. Aim of this study was therefore to evaluate the early/mid-term reinterventions after FB-EVAR for j/p-AAAs and TAAAs and their impact on follow-up survival. Read More

View Article and Full-Text PDF

Xanthomatous Inflammatory Infiltrate Involving the Spleen: An Unusual Presentation of Erdheim-Chester Disease and Review of the Literature.

Am J Case Rep 2021 Jun 4;22:e931060. Epub 2021 Jun 4.

Pathological Anatomy Section, Careggi University Hospital, Florence, Italy.

BACKGROUND Erdheim-Chester disease (ECD) is a rare form of non-Langerhans cell histiocytosis characterized by foamy histiocytes, Touton-like giant cells, and fibrosis, typically affecting the diaphyseal and metaphyseal region of the long bones but that can involve any organ or tissue. ECD is usually associated with the BRAF V600E mutation or with other molecular mutations inserted in the MAPK cascade. CASE REPORT We present the case of a 63-year-old man with a previous history of myocardial infarction who underwent an emergency splenectomy for splenic rupture after an accidental fall. Read More

View Article and Full-Text PDF

Neonatal Rupture of the Spleen: Successful Treatment with Splenic Artery Embolization.

AJP Rep 2021 Mar 27;11(2):e58-e60. Epub 2021 May 27.

Department of Pediatric Surgery, Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam, Netherlands.

Neonatal intra-abdominal hemorrhage has been rarely reported in the literature. We report a case of splenic injury in a neonate, highlighting the importance of a high-index suspicion in early recognition of this rare and potentially fatal injury. We report the first case of a neonate who had a splenic rupture and underwent successful endovascular treatment. Read More

View Article and Full-Text PDF

Spontaneous splenic rupture: A rare complication of acute myeloid leukemia. Report of a case.

Ann Med Surg (Lond) 2021 May 5;65:102286. Epub 2021 May 5.

Departement of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco.

Introduction: Spontaneous rupture of the spleen (SPR) is a rare and severe affection, difficult to diagnose, with multiple causes such as: Infectious and hematologic affections which represent more than half of the cases. Among this subset of patients, acute myeloid leukemia is one of the causes.

Presentation Of Case: A 48-year-old man undergoing chemotherapy for acute myeloid leukemia presented with acute intense abdominal pain. Read More

View Article and Full-Text PDF

Rare inherited coagulation disorders in young children in Oman.

Pediatr Hematol Oncol 2021 May 20:1-21. Epub 2021 May 20.

Pediatric Hematology Oncology Unit, Department of Child Health, Sultan Qaboos University Hospital, Oman.

Background: Rare coagulation disorders represent 3-5% of all inherited coagulation deficiencies and are usually inherited as autosomal recessive. Oman has high rate of consanguineous marriages; we aimed to study the prevalence, presentation and management in affected Omani children. Retrospective study in pediatric patients with rare coagulation disorders in a tertiary hospital in Oman from 2009 to 2020. Read More

View Article and Full-Text PDF

Splenic rupture after colonoscopy: A little-known complication.

Rev Gastroenterol Mex (Engl Ed) 2021 May 14. Epub 2021 May 14.

Servicio de Medicina Interna, Hospital Universitario de Cabueñes, Gijón, España.

View Article and Full-Text PDF

Primary angiosarcoma of the spleen, a rare indication for splenectomy: a case report.

Int J Surg Case Rep 2021 May 29;82:105929. Epub 2021 Apr 29.

Department of Surgery, University of Minnesota Medical School, Minneapolis, MN 55414, United States of America.

Introduction And Importance: Primary angiosarcoma of the spleen is a rare condition with a nonspecific clinical presentation and is associated with a poor prognosis. We describe two patients with primary splenic angiosarcoma successfully treated with splenectomy and adjuvant chemotherapy.

Case Presentations: Case 1: A 50-year-old female presented with fatigue and left-sided rib, shoulder, and abdominal pain. Read More

View Article and Full-Text PDF

Perirectal intraperitoneal splenosis: A case report of MRI with laparoscopic correlation.

Radiol Case Rep 2021 Jun 18;16(6):1543-1547. Epub 2021 Apr 18.

Department of General and Visceral Surgery, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Linz, Austria.

Splenosis is a benign acquired condition, which appears after rupture of the spleen and heterotopic auto-transplantation. Mostly found as an incidental finding on cross-sectional imaging, definitive diagnosis is frequently made histologically after resection or tissue sampling. We report a case of a 36-year-old male patient who presented with increased susceptibility to infections, chronic fatigue, and a history of traumatic splenic rupture. Read More

View Article and Full-Text PDF

Unusual Presentations of Abdominal Melioidosis.

J Glob Infect Dis 2021 Jan-Mar;13(1):52-55. Epub 2021 Jan 29.

Department of Microbiology, Dr. Rela Institute and Medical Centre, Chennai, Tamil Nadu, India.

Melioidosis is an endemic bacterial infection caused by soil saprophyte, . It infects adults with risk factors or immunosuppressed and exposed to moist soil. Its significance lies in its varied clinical presentation and high mortality (40%). Read More

View Article and Full-Text PDF
January 2021

Hemosuccus Pancreaticus: Culprit of Life-Threatening Upper Gastrointestinal Bleeding in Acute Pancreatitis.

J Emerg Trauma Shock 2021 Jan-Mar;14(1):48-50. Epub 2021 Mar 23.

Department of Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.

Hemosuccus pancreaticus (HP), a term used for upper gastrointestinal bleeding (UGIB) from the ampulla of Vater through the pancreatic duct, is most commonly caused by the rupture of aneurysm of the splenic artery associated with acute or chronic pancreatitis. It is a rare cause of UGIB, and estimates of its rate (1/1500) are based on small case series. Because of its rarity, the diagnosis is easily overlooked. Read More

View Article and Full-Text PDF

Acute abdomen due to pancreatic pseudocyst with splenic extension and rupture.

J Surg Case Rep 2021 Apr 19;2021(4):rjab071. Epub 2021 Apr 19.

Esophagogastric Surgery Unit, Department of Digestive Surgery, Hospital Dr. Sotero del Rio, Pontificia Universidad Católica de Chile, Santiago, Chile.

Pancreatic pseudocyst is a common complication of acute and chronic pancreatitis. However, spleen involvement in pancreatitis is rare. We present a patient with a pancreatic tail pseudocyst with splenic extension and rupture. Read More

View Article and Full-Text PDF

Residual Splenic Volume after Main Splenic Artery Embolization is Independent of the Underlying Disease.

J Belg Soc Radiol 2021 Apr 6;105(1):19. Epub 2021 Apr 6.

Department of Radiology, University Hospitals Leuven, Leuven, Belgium.

Purpose: To assess the safety and efficacy of main splenic artery embolization. To assess the potential difference post-embolization of the residual splenic volume in patients embolized for trauma versus those embolized for (pseudo)aneurysms.

Materials And Methods: A retrospective analysis was performed on a cohort of 65 patients (36 males) who underwent pre- and post-embolization computed tomography. Read More

View Article and Full-Text PDF

A case of acute abdomen caused by spontaneous rupture of a splenic abscess secondary to cancer of the splenic flexure.

J Surg Case Rep 2021 Apr 13;2021(4):rjab048. Epub 2021 Apr 13.

Aristotle University of Thessaloniki, School of Medicine, Second Surgical Propedeutic Department, Hippocration Hospital, Thessaloniki, Greece.

Splenic abscesses are rare, difficult to diagnose, difficult to treat and usually appear in immunosuppressed patients. We present the case of a 64-year-old patient with left pleuritic chest pain, anorexia and fever with rigors diagnosed with splenic abscess due to splenic flexure colon cancer. The abscess spontaneously ruptured and the patient was operated on for acute abdomen. Read More

View Article and Full-Text PDF

[Mechanism of blunt spleen injury: a finite element analysis].

Nan Fang Yi Ke Da Xue Xue Bao 2021 Mar;41(3):430-438

School of Forensic Medicine, Southern Medical University, Guangzhou 510515, China.

Objective: To explore the biomechanical mechanism of blunt spleen injury based on finite element analysis.

Objective: A fist finite element model was used to simulate the impact at 4-8 m/s in the spleen area of THUMS4.0 human body model from the front of the left costal area, the left anterior axillary line and the rear scapular line. Read More

View Article and Full-Text PDF

Splenic rupture secondary of colonoscopy.

Med Clin (Barc) 2021 Mar 23. Epub 2021 Mar 23.

Servicio de Urgencias, Hospital Universitario Clínico San Cecilio, Granada, España. Electronic address:

View Article and Full-Text PDF

Spontaneous Splenic Artery Rupture as the First Symptom of Systemic Amyloidosis.

Case Rep Crit Care 2021 8;2021:6676407. Epub 2021 Mar 8.

Department of Medicine, Haukeland University Hospital, Bergen, Norway.

Spontaneous splenic rupture is a life-threatening condition leading to a rapidly progressing hypovolemic shock due to intra-abdominal blood loss, with a mortality rate of about 10%. Spontaneous splenic rupture can be caused by widely different disorders including acute and chronic infections, neoplastic disorders, and inflammatory noninfectious disorders. In this case report, we present a 67-year-old male patient with hemorrhagic shock caused by an acute bleeding from the splenic artery. Read More

View Article and Full-Text PDF

Splenic haematoma: a rare complication of colonoscopy.

BMJ Case Rep 2021 Mar 24;14(3). Epub 2021 Mar 24.

General Surgery, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK.

Colonoscopy is the gold-standard tool to investigate the colon which also allows to biopsy or treat intraluminal pathologies. About 900 000 colonoscopies are performed annually in UK. It is considered a relatively safe procedure; however, some serious complications might take place. Read More

View Article and Full-Text PDF

Atraumatic splenic rupture in patient with acute pancreatitis.

BMJ Case Rep 2021 Mar 23;14(3). Epub 2021 Mar 23.

Surgery, Austin Health, Heidelberg, Victoria, Australia.

Atraumatic splenic rupture (ASR) is a rare complication of acute pancreatitis with high mortality and morbidity rates. We present a case of a 63-year-old woman with a history of hypertension, presenting with acute pancreatitis who subsequently developed a splenic rupture requiring a laparotomy and splenectomy. ASR is a rare but life-threatening complication requiring prompt recognition and management and should be considered in patient with pancreatitis who develops sudden haemodynamic compromise and worsening anaemia. Read More

View Article and Full-Text PDF

An Extremely Rare Case of Splenic Rupture Secondary to Metastatic Gestational Choriocarcinoma.

World J Oncol 2021 Feb 10;12(1):39-43. Epub 2021 Feb 10.

Department of Radiology, Ha Noi Medical University Hospital, Ha Noi, Vietnam.

Gestational choriocarcinoma (GC) is an uncommon malignant tumor consisting of trophoblastic cells. The lungs, liver, and central nervous system are the most common metastatic sites for this disease. However, splenic metastasis is unusual and might result in spontaneous rupture. Read More

View Article and Full-Text PDF
February 2021

A Rare Case of Spontaneous Splenic Rupture Secondary to Tularemia Following a Cat Bite.

Cureus 2021 Feb 8;13(2):e13218. Epub 2021 Feb 8.

Internal Medicine, University of North Dakota, Fargo, USA.

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. Read More

View Article and Full-Text PDF
February 2021

Massive intrasplenic arterial thrombosis in a patient with chronic ITP during the development of an Evans syndrome.

Thromb Res 2021 Feb 24. Epub 2021 Feb 24.

Department of Hematology, Hospital del Mar, Barcelona, Spain; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.

Long-term safety and efficacy of eltrombopag in adults with persitent/chronic primary immune thrombocytopenia (ITP) evaluated in EXTEND study, showed a high response rate (80%) but, in the clinical safety study, it was observed that 6% of the patients presented venous and arterial thrombotic events. In addition, in the course of the disease, autoimmune hemolytic anemia (Evans syndrome, ES) may occur and could increase the risk of thrombosis. We report an interesting case of splenic rupture due to massive intrasplenic arterial thrombosis in the course of ES in a patient with chronic ITP treated with eltrombopag. Read More

View Article and Full-Text PDF
February 2021

Splenic artery pseudoaneurysm and resultant haematosuccus pancreaticus.

BMJ Case Rep 2021 Mar 4;14(3). Epub 2021 Mar 4.

HPB Surgery, Royal Blackburn Hospital, Blackburn, Lancashire, UK.

Splenic artery pseudoaneurysm (SAP) is a rare and dangerous diagnosis with a high risk of rupture and death. It is the most common cause of main pancreatic duct haematoma-haematosuccus pancreaticus (HP). Neither SAP nor HP have specific clinical features that allow diagnosis without cross-sectional imaging. Read More

View Article and Full-Text PDF

Splenomegaly, Non-Traumatic Splenic Rupture, and Pancytopenia in Patient with Human Granulocytic Anaplasmosis.

R I Med J (2013) 2021 Mar 1;104(2):60-62. Epub 2021 Mar 1.

Division of Infectious Disease, Department of Medicine, Alpert Medical School of Brown University, Providence, RI.

Background: Splenic rupture is a well-described complication of babesiosis but is rarely associated with anaplasmosis.

Case Presentation: We report a case of a 37-year-old man with no significant past medical history who presented with malaise, myalgias, arthralgias and severe left upper quadrant pain. He was found to have splenic rupture secondary to infection by Anaplasma phagocytophilum. Read More

View Article and Full-Text PDF

The management and outcome of paediatric splenic injuries in the Netherlands.

World J Emerg Surg 2021 Feb 27;16(1). Epub 2021 Feb 27.

Department of Surgery, Radboud University Medical Centre, P.O. Box 9101, 6500, HB, Nijmegen, The Netherlands.

Background: Non-operative management (NOM) is generally accepted as a treatment method of traumatic paediatric splenic rupture. However, considerable variations in management exist. This study analyses local trends in aetiology and management of paediatric splenic injuries and evaluates the implementation of the guidelines proposed by the American Paediatric Surgical Association (APSA) in a level 1 trauma centre. Read More

View Article and Full-Text PDF
February 2021

Cirsoid aneurysm rupture of the splenic artery as a rare cause of fatal hemoperitoneum.

J Forensic Leg Med 2021 Apr 20;79:102134. Epub 2021 Feb 20.

Laboratorio di Istopatologia Forense e Microbiologia Medico Legale, Sezione di Medicina Legale e delle Assicurazioni, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Luigi Mangiagalli, 37, 20133, Milano, Italy. Electronic address:

Cirsoid aneurysms are rare arteriovenous malformations without any capillaries interposed and almost always observed in the scalp region. These types of aneurysms are so-called "cirsoid" because of their serpiginous appearance. In this report, the authors present the first case of a lethal spontaneous rupture of a cirsoid aneurysm of the splenic artery, which could be diagnosed only by post-mortem histologic examination. Read More

View Article and Full-Text PDF

Gastric Splenosis Mimicking Gastrointestinal Stromal Tumor.

Cureus 2021 Jan 20;13(1):e12816. Epub 2021 Jan 20.

Department of Gastroenterology, Upstate University Hospital, Syracuse, USA.

Translocation of splenic tissue in patients after traumatic spleen injury or splenectomy is called splenosis. Gastric splenosis is a rare presentation that can be mistaken for gastrointestinal stromal tumor (GIST). Patients are usually asymptomatic and do not require surgical intervention. Read More

View Article and Full-Text PDF
January 2021

Circulatory collapse from rupture of splenic artery aneurysm: A case study.

Ann Acad Med Singap 2021 Jan;50(1):86-87

Emergency Medicine Department, National University Health System, Singapore.

View Article and Full-Text PDF
January 2021