5,911 results match your criteria Splenic Rupture


Spontaneous Splenic Artery Pseudoaneurysm Rupture Causing Hemorrhagic Shock.

Cureus 2020 May 26;12(5):e8286. Epub 2020 May 26.

Pulmonary and Critical Care Medicine, University of Miami Miller School of Medicine, Miami, USA.

Splenic artery pseudoaneurysm (SAP) is an uncommon etiology of acute abdominal pain, requiring a high degree of clinical suspicion to diagnose in a timely manner. There are currently no reports of spontaneous SAP ruptures in the emergency medicine literature. We report a case of a man who presented with acute abdominal pain secondary to an SAP. Read More

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http://dx.doi.org/10.7759/cureus.8286DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317116PMC

First Russian experience with endovascular balloon occlusion of the aorta in a zone of combat operations.

Angiol Sosud Khir 2020 ;26(2):61-75

Field Surgery Department, Military Medical Academy named after S.M. Kirov under the Ministry of Defence of the Russian Federation, Saint Petersburg, Russia.

Resuscitative endovascular balloon occlusion of the aorta has increasingly been used all the world over for arresting ongoing intraabdominal and intrapelvic bleeding accompanied by unstable haemodynamics. However, the use of resuscitative endovascular balloon occlusion of the aorta in a zone of military operations has been limited to sporadic cases only. This article deals with 3 clinical case reports regarding rendering medical care for the wounded presenting with extremely unstable haemodynamics and/or a terminal state in a field hospital, where insertion of a balloon into the aorta made it possible to stabilize the condition, to perform the basic scope of diagnosis, and to finally control the continuing bleeding: in one case - intraabdominal (due to splenic rupture) and in 2 cases - intrapelvic (unstable fractures of pelvic bones). Read More

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http://dx.doi.org/10.33529/ANGI02020204DOI Listing
January 2020

Endovascular flow-diversion of visceral and renal artery aneurysms using dual-layer braided nitinol carotid stents.

CVIR Endovasc 2020 Jun 28;3(1):33. Epub 2020 Jun 28.

Interventional Radiology Unit - Monash Imaging, Monash Health, Melbourne, Australia.

Background: Visceral and renal artery aneurysms (VRAAs) are uncommon but are associated with a high mortality rate in the event of rupture. Endovascular treatment is now first line in many centres, but preservation of arterial flow may be difficult in unfavourable anatomy including wide necked aneurysms, parent artery tortuosity and proximity to arterial bifurcations. Endovascular stenting, and in particular flow-diversion, is used in neurovascular intervention to treat intracranial aneurysms but is less often utilised in the treatment of VRAAs. Read More

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http://dx.doi.org/10.1186/s42155-020-00125-2DOI Listing

Giant splenic artery aneurysm presenting with massive upper gastrointestinal bleeding: A case report and review of literature.

World J Gastroenterol 2020 Jun;26(22):3110-3117

Division of General Surgery, Department of Surgery, Madonna delle Grazie Hospital, Matera 75100, Italy.

Background: Splenic artery aneurysm (SAA) and pseudoaneurysm are rare vessel's lesions. Pseudoaneurysm is often symptomatic and secondary to pancreatitis or trauma. True SAA is the most common aneurysm of visceral vessels. Read More

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http://dx.doi.org/10.3748/wjg.v26.i22.3110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304111PMC

Successful Artery Embolization in a Patient with Autoimmune Lymphoproliferative Syndrome Associated with Splenic Rupture.

J Clin Immunol 2020 Jun 25. Epub 2020 Jun 25.

Department of Pediatrics, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan.

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http://dx.doi.org/10.1007/s10875-020-00809-3DOI Listing

A case of colon necrosis resulting from a delayed traumatic diaphragmatic hernia.

J Surg Case Rep 2020 Jun 17;2020(6):rjaa101. Epub 2020 Jun 17.

Department of Thoracic Surgery, Ambroise Pare, Mons, Belgium.

We present the case of a 71 years old woman who came at the emergency room for abdominal pain and symptoms of occlusion. The scanner demonstrated a colonic occlusion resulting from an incarceration, diagnosed as a hernia of Bochdalek. But two old rib fractures and a past history of a fall directed us to the diagnostic of delayed diaphragmatic rupture. Read More

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http://dx.doi.org/10.1093/jscr/rjaa101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299604PMC

Laparoscopic Resection of a Left Upper Quadrant Mass Leading to a Surprise Diagnosis.

Case Rep Surg 2020 30;2020:8365061. Epub 2020 May 30.

University of Maryland Community Medical Group, Easton, MD, USA.

. Resplenectomy is most commonly done for the treatment of recurrent idiopathic thrombocytopenic purpura (ITP) refractory to medical management due to the regrowth of a missed accessory spleen. . Read More

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http://dx.doi.org/10.1155/2020/8365061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284930PMC

Splenic Complications of Infection in Humans: A Systematic Review.

Can J Infect Dis Med Microbiol 2020 27;2020:6934149. Epub 2020 May 27.

Division of Infectious Disease, University of Colorado, Denver, CO, USA.

Splenic complications of acute infection include splenomegaly, splenic infarct, and splenic rupture. These complications are relatively rarely reported, and the aim of this research was to synthetize data on this topic according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines using the PubMed database. In this review, we find that unlike other severe complications of babesiosis, splenic infarct and rupture occur in younger and immunocompetent patients, and they do not correlate with parasitemia level. Read More

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http://dx.doi.org/10.1155/2020/6934149DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275217PMC

Spontaneous splenic rupture - An uncommon complication of chronic myelomonocytic leukemia.

Leuk Res Rep 2020 29;14:100205. Epub 2020 May 29.

Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi, 75300, Pakistan.

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http://dx.doi.org/10.1016/j.lrr.2020.100205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287228PMC

Management of Gastroduodenal Artery Pseudoaneurysm Rupture With Duodenal Ulcer Complicated by Coil Migration.

ACG Case Rep J 2020 Apr 29;7(4):e00347. Epub 2020 Apr 29.

Department of Internal Medicine, Internal Medicine at Northwell Health at Mather Hospital, Port Jefferson, NY.

Rupture of visceral artery aneurysms or visceral artery pseudoaneurysms is an unusual cause of upper gastrointestinal bleeding. Although most visceral artery aneurysms and visceral artery pseudoaneurysms occur in the splenic artery or hepatic artery, they can rarely occur in the gastroduodenal artery. These are at high risk for rupture, with a 40%-70% mortality. Read More

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http://dx.doi.org/10.14309/crj.0000000000000347DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224706PMC

Niemann-Pick Disease Type B in Traumatic Splenic Rupture.

Am J Forensic Med Pathol 2020 Jun 12. Epub 2020 Jun 12.

From the Department of Forensic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.

The rupture of spleen is common in clinical and forensic practice. Trauma is the most common cause of splenic rupture. Although rare, traumatic splenic rupture may occur in these individuals with asymptomatic underlying disease, and clinical and forensic pathologists may neglect the disease and diagnose only the traumatic splenic rupture. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000577DOI Listing

Non-Traumatic Splenic Rupture After Open Surgery for Type A Aortic Dissection: A Case Report and Literature Review.

Heart Surg Forum 2020 May 14;23(3):E315-E317. Epub 2020 May 14.

Department of Intensive Care Unit of Cardiac Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.

Aortic dissection is a severe condition that involves a tear in the wall of the major artery carrying blood out of the heart (aorta). This cardiac disease has a high mortality, particularly Stanford type A, which involves the first part of the aorta. Aortic dissection is characterized by urgent onset, rapid progress, and poor outcome [Nienaber 2003; Mehta 2002]. Read More

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http://dx.doi.org/10.1532/hsf.2175DOI Listing

Splenic rupture caused by pancreatic pseudocyst successfully treated by endoscopic ultrasound-guided drainage.

Clin J Gastroenterol 2020 Jun 8. Epub 2020 Jun 8.

Endoscopic Center, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan.

A 43-year-old man was admitted to a local hospital because of acute left abdominal pain. Chronic alcoholic pancreatitis and a 10-cm pancreatic pseudocyst in the tail of the pancreas had been found 5 years previously. He had not stopped drinking alcohol since then. Read More

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http://dx.doi.org/10.1007/s12328-020-01152-1DOI Listing

Small bowel obstruction due to splenosis 30 years after splenectomy.

Ann R Coll Surg Engl 2020 Jun 8:e1-e3. Epub 2020 Jun 8.

Saint Charles Hospital, Mount Lebanon, Lebanon.

Splenosis is the autotransplantation of splenic tissue into abnormal locations due to trauma or iatrogenically. Usually, this causes no symptoms, but in rare cases the mass effect of the transplanted nodules can cause small bowel obstruction. Resection of the culprit splenic tissue is recommended, but not more extensive dissection of non-involved nodules. Read More

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http://dx.doi.org/10.1308/rcsann.2020.0131DOI Listing
June 2020
1.223 Impact Factor

Spontaneous splenic rupture 1 week after laparoscopic appendectomy due to acute appendicitis.

Authors:
Jurij Janez

J Minim Access Surg 2020 Jul-Sep;16(3):269-270

Department of Abdominal Surgery, University Medical Centre Ljubljana; Department of Surgery, Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1104 Ljubljana, Slovenia.

Spontaneous splenic rupture is a rare entity that requires high index of suspicion for diagnosis. Usually, it occurs due to underlying pathology that could be inflammatory, neoplastic or infectious. However, there are also cases of spontaneous splenic rupture in a normal-sized spleen without obvious pathologic process. Read More

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http://dx.doi.org/10.4103/jmas.JMAS_1_20DOI Listing

Colonic varices treated with embolization after pancreatoduodenectomy with portal vein resection: a case report.

Surg Case Rep 2020 Jun 3;6(1):126. Epub 2020 Jun 3.

Department of Surgery, Obihiro Kosei General Hospital, West 14 South 10, Obihiro, Hokkaido, 080-0024, Japan.

Background: Pancreatoduodenectomy with resection of the portal vein or superior mesenteric vein confluence has been safely performed in patients with pancreatic head cancer associated with infiltration of the portal vein or superior mesenteric vein. In recent years, left-sided portal hypertension, a late postoperative complication, has received focus owing to increased long-term survival with advances in chemotherapy. Left-sided hypertension may sometimes cause fatal gastrointestinal bleeding because of the rupture of gastrointestinal varices. Read More

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http://dx.doi.org/10.1186/s40792-020-00888-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270471PMC

Efficacy evaluation of different conservative treatments for blunt spleen rupture.

Minerva Med 2020 May 29. Epub 2020 May 29.

Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, China.

Background: This study aims to provide a reference for the clinical treatment of patients with spleen ruptures by analyzing and discussing the clinical effects of the conservative treatment.

Methods: The clinical data of 93 patients with blunt spleen rupture treated in the First Affiliated Hospital of University of Science and Technology of China from April 2015 to April 2018 were retrospectively analyzed. Among them, 84 cases were treated conservatively and 9 cases were treated surgically. Read More

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http://dx.doi.org/10.23736/S0026-4806.20.06574-XDOI Listing

Atraumatic splenic rupture in a patient treated with apixaban: A case report.

Int J Surg Case Rep 2020 11;71:270-273. Epub 2020 May 11.

Sir Charles Gairdner Hospital, General Surgery - Western Australia Liver and Kidney (WALK), WA, Australia.

Introduction: Splenic rupture is often seen in the context of significant trauma. Atraumatic ruptures are described in the context of malignancy, inflammation or infection directly affecting the spleen. Splenic ruptures occurring in patients taking apixaban, a factor Xa inhibitor, are challenging due to the scarcity of a direct reversal agent. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264001PMC

Laparoscopic and Robotic Surgery for Splenic Artery Aneurysm: A Systematic Review.

Ann Vasc Surg 2020 May 29. Epub 2020 May 29.

Department of Surgery, Emergency Department - Division of Emergency and Trauma, Surgery, Sapienza University of Rome, Rome, Italy.

Background: Splenic artery aneurysms (SAAs) are the most frequent visceral aneurysms, with a life-threatening risk in case of rupture. Our systematic review investigated the features of minimally invasive surgical approaches in vascular surgery for SAAs: robotic surgery and laparoscopy.

Methods: PubMed, EMBASE, and the Web of Science were systematically searched for robotic or laparoscopic surgery reports in SAA up to January 2020. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.05.037DOI Listing

Post traumatic left cardiac luxation: A case report.

Int J Surg Case Rep 2020 15;71:205-208. Epub 2020 May 15.

Department of Cardiac and Thoracic Surgery, The Military Hospital of Tunis, Tunisia. Electronic address:

Introduction: Rupture of the pericardium complicating blunt thoracic trauma may lead to cardiac luxation if not early recognized and appropriately surgically treated. This condition is exceedingly rare and carries a high mortality rate.

Case Presentation: A 37-year-old man presented with severe multiple injuries following a road traffic crash, including blunt trauma to the thorax and abdomen. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262375PMC

A Delayed Splenic Tragedy Beyond the Scope of a Colonoscope: A Rare Find.

Cureus 2020 Apr 23;12(4):e7805. Epub 2020 Apr 23.

Internal Medicine, St. Mary Mercy Hospital, Livonia, USA.

Colonoscopy is considered a low-risk procedure worldwide. Complications include hemorrhage, bowel perforation, and splenic rupture on rare occasions. The incidence of splenic rupture estimates between 0. Read More

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http://dx.doi.org/10.7759/cureus.7805DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249756PMC

Prospective observational study of dogs with splenic mass rupture suggests potentially lower risk of malignancy and more favourable perioperative outcomes.

Vet Comp Oncol 2020 May 26. Epub 2020 May 26.

Emergency and Critical Care, Ethos Veterinary Health, Woburn, Massachusetts, USA.

Haemoperitoneum secondary to ruptured splenic tumours can be either benign or malignant in origin. The majority of previous studies of canine haemoperitoneum have been retrospective, which are associated with well-recognized biases, such as the potential to underappreciate the diversity of outcomes in a complex presentation such as haemoperitoneum. This study seeks to prospectively define perioperative morbidity and mortality of haemoperitoneum in dogs secondary to ruptured splenic masses. Read More

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http://dx.doi.org/10.1111/vco.12621DOI Listing

Rhinoceros-related delayed traumatic diaphragmatic rupture.

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):486-488

Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain-United Arab Emirates.

Animal-related injuries should be analyzed based on the behavior and anatomy of the attacking animal. Rhinoceros-related injuries in humans are extremely rare. Hereby, we report a life-threatening traumatic diaphragmatic hernia in a woman who presented three years after a rhinoceros gored her chest. Read More

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http://dx.doi.org/10.14744/tjtes.2019.73857DOI Listing

Effects of different anesthesia techniques on intraoperative blood loss in acetabular fractures undergoing the Modified Stoppa approach.

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):445-452

Department of Orthopedics and Traumatology, Muğla Sıtkı Koçman University Faculty of Medicine, Muğla-Turkey.

Background: This study aims to evaluate the effects of the anesthesia technique on the intraoperative blood loss in acetabular fracture patients undergoing the Modified Stoppa approach.

Methods: We retrospectively identified 63 patients who underwent a Modified Stoppa approach for acetabular fracture from January 2014 to July 2018. A total of 20 patients were excluded from this study for the following reasons: bilateral acetabular fractures (n=6), undergoing antiaggregant treatment (n=3), incomplete anesthesia records (n=3), emergency pelvic surgery due to hemodynamic instability (n=5), splenic rupture (n=2), and liver laceration (n=1). Read More

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http://dx.doi.org/10.14744/tjtes.2019.09294DOI Listing

Haemorrhagic shock secondary to non-traumatic spleen rupture as a manifestation of splenic flexure cancer: A case report.

Gastroenterol Hepatol 2020 May 14. Epub 2020 May 14.

Departamento de Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, Islas Canarias, España.

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http://dx.doi.org/10.1016/j.gastrohep.2020.02.016DOI Listing

Haemobilia: secondary to micro aneurysms of hepatic artery.

J Pak Med Assoc 2020 May;70(5):917-919

Department of Pediatrics Radiology, Children Hospital and Institute of Child Health, Lahore Pakistan.

Hepatic artery is the fourth most common site of the intraabdominal aneurysm, after infra renal aorta, iliac artery and splenic artery aneurysms. Rupture of the aneurysm may lead to the upper gastrointestinal haemorrhage. Here we report a 5 years old boy, who presented with fever, abdominal distension and unexplained upper GI bleed. Read More

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http://dx.doi.org/10.5455/JPMA.291186DOI Listing

Spontaneous Splenic Rupture Two Weeks After Sleeve Gastrectomy.

Obes Surg 2020 Aug;30(8):3226-3228

General Surgery Department, Rashid Hospital-DHA, PO Box: 4545, Dubai, United Arab Emirates.

Sleeve gastrectomy is one of the commonest bariatric procedures performed globally with an acceptable rate of reported complications. Splenic injury during this procedure is a rare but can be a serious complication. A 32-year-old male patient who had a spontaneous splenic rupture two weeks after an uneventful sleeve gastrectomy needed an emergency splenectomy. Read More

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http://dx.doi.org/10.1007/s11695-020-04517-0DOI Listing

A Very Rare Cause of Splenic Injury: Splenic Hematoma Following a Diagnostic Upper Endoscopy (Esophagogastroduodenoscopy) and Biopsy of Gastric Ulcer.

J Clin Med Res 2020 Apr 30;12(4):269-271. Epub 2020 Mar 30.

West Virginia School of Osteopathic Medicine, 400 N Lee St, Lewisburg, WV 24901, USA.

The potential for splenic injury from esophagogastroduodenoscopy (EGD) is exceptionally low. To our knowledge, less than five cases have been reported in literature. Though still uncommon, splenic rupture due to diagnostic or therapeutic procedures is more frequently described following colonoscopy and endoscopic retrograde cholangiopancreatography. Read More

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http://dx.doi.org/10.14740/jocmr4134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188373PMC

A Case of Splenic Injury After Shockwave Lithotripsy Presenting as Septic Shock.

J Emerg Med 2020 Apr 27. Epub 2020 Apr 27.

Community Medical Center, Toms River, New Jersey.

Background: Shockwave lithotripsy (SWL) is a common procedure, which can result in rare, life-threatening complications, such as splenic rupture, perinephric hematoma, sepsis, and ureteral colic from retained stone. Being able to identify these complications can result in successful diagnosis and expedited management.

Case Report: We describe the case of an 82-year-old female presenting to the emergency department (ED) for hypotension and vomiting. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.03.016DOI Listing

Spontaneous splenic rupture associated with bacteremia and dual antiplatelet therapy.

Proc (Bayl Univ Med Cent) 2020 Apr 10;33(2):241-242. Epub 2020 Jan 10.

Department of Internal Medicine, McGovern Medical School, The University of Texas Health Science Center at HoustonHoustonTexas.

Splenic rupture is a life-threatening condition that usually occurs after blunt abdominal trauma. It can lead to hemorrhagic shock and death if not diagnosed quickly. Rarely, spontaneous rupture of the spleen may occur without a history of trauma. Read More

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http://dx.doi.org/10.1080/08998280.2019.1709609DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155991PMC

Atraumatic idiopathic splenic rupture induced by granulocyte-colony stimulating factor (G-CSF) for the treatment of pancytopenia, managed successfully by laparoscopic splenectomy.

BMJ Case Rep 2020 Apr 9;13(4). Epub 2020 Apr 9.

General Surgery, University Hospital Ayr, Ayr, UK.

Splenic rupture is a potentially life-threatening condition and an uncommon short-term complication of granulocyte-colony stimulating factor (G-CSF) administration. It may present as acute abdominal pain or suddenly precipitously worsening anaemia with haemodynamic instability that requires urgent operative intervention for survival. We present a case of an atraumatic idiopathic splenic rupture in University Hospital, Ayr in a patient who received G-CSF treatment for chemotherapy-induced (methotrexate) pancytopenia and was successfully managed by laparoscopic splenectomy. Read More

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http://dx.doi.org/10.1136/bcr-2019-232411DOI Listing

Coexistence of diffuse panbronchiolitis and sarcoidosis revealed during splenectomy: a case report.

BMC Pulm Med 2020 Mar 30;20(1):77. Epub 2020 Mar 30.

Department of Respiratory Medicine, Tokyo Women's Medical University School of Medicine, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.

Background: Sarcoidosis is a systemic granulomatous disease caused by CD4+ cell-dominant inflammation. Meanwhile, diffuse panbronchiolitis is a chronic inflammatory respiratory disease predominantly caused by CD8+ lymphocytes and neutrophils. Herein, we report a rare case of sarcoidosis in which the clinical presentation had become evident as diffuse panbronchiolitis after splenectomy for sarcoidosis. Read More

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http://dx.doi.org/10.1186/s12890-020-1117-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106566PMC

Intrahepatic splenosis demonstrated by diffusion weighted MRI with histologic confirmation.

Radiol Case Rep 2020 May 19;15(5):602-606. Epub 2020 Mar 19.

Department of Hospital Medicine, Cleveland Clinic, Cleveland, OH 44195, USA.

Acquired ectopic splenic tissue is called splenosis, which is common after the history of trauma or surgical exploration. We present a rare case of intrahepatic splenosis in 36-year-old male patient mimicking a liver neoplasm on imaging however presented with left flank pain for 5 months and had remote history of splenectomy after splenic rupture from trauma. We discuss various imaging modalities and the role of various magnetic resonance imaging sequences and nuclear medicine examination. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.02.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090284PMC

Visceral Artery Pseudoaneurysm Rupture after Endoscopic Retrograde Cholangiopancreatography.

Korean J Gastroenterol 2020 Mar;75(3):162-166

Department of Internal Medicine, Inje University Seoul Paik Hospital, Seoul, Korea.

A visceral artery pseudoaneurysm after ERCP is a rare adverse event that is potentially life-threatening. Most cases reported previously originated from the peripancreatic arteries, including the splenic artery, gastroduodenal artery, or pancreaticoduodenal artery. The mechanism of the occurrence of visceral artery pseudoaneurysms after ERCP has not been elucidated until now. Read More

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http://dx.doi.org/10.4166/kjg.2020.75.3.162DOI Listing

Quantity of hemoperitoneum is associated with need for intervention in patients with stable blunt splenic injury.

Trauma Surg Acute Care Open 2020 9;5(1):e000406. Epub 2020 Feb 9.

Trauma Research, Swedish Medical Center, Englewood, Colorado, USA.

Background: In patients with hemodynamically stable blunt splenic injury (BSI), there is no consensus on whether quantity of hemoperitoneum (HP) is a predictor for intervention with splenic artery embolization (SAE) or failing nonoperative management (fNOM). We sought to analyze whether the quantity of HP was associated with need for intervention.

Methods: This retrospective cohort study included adult trauma patients with hemodynamically stable BSI admitted to six trauma centers between 2014 and 2016. Read More

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http://dx.doi.org/10.1136/tsaco-2019-000406DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046947PMC
February 2020

A Man with Pain in the Left Upper Quadrant and Left Shoulder.

Gastroenterology 2020 Mar 3. Epub 2020 Mar 3.

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan; Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:

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http://dx.doi.org/10.1053/j.gastro.2020.02.047DOI Listing

Splenic injuries secondary to colonoscopy: Rare but serious complication.

World J Gastrointest Surg 2020 Feb;12(2):55-67

Department of Gastroenterology, Advent Health Hospital, Orlando, FL 32804, United States.

Background: Colonoscopy is a safe and routine diagnostic and therapeutic procedure for evaluation of large bowel diseases. Most common procedure related complications include bleeding and perforation but rarely a splenic Injury.

Aim: To investigate the reason for colonoscopy, presentation of patient with spleen injury, types of injury, diagnosis, management and outcomes of patients. Read More

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http://dx.doi.org/10.4240/wjgs.v12.i2.55DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044106PMC
February 2020

A Mysterious Case of an Infarcted Spleen due to Kissing Disease: A Rare Entity.

Cureus 2020 Jan 19;12(1):e6700. Epub 2020 Jan 19.

Internal Medicine, West Virginia University, Charelston, USA.

Viruses are long known to be leading causes of self-limiting infections. Infectious mononucleosis (IM) caused by the Epstein-Barr virus (EBV) is, however, no exception. The ailment is caused by a DNA virus belonging to the Herpesviridae family. Read More

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http://dx.doi.org/10.7759/cureus.6700DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029827PMC
January 2020

Ruptured splenic peliosis in a patient with no comorbidity: A case report.

World J Clin Cases 2020 Feb;8(3):535-539

Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul 06591, South Korea.

Background: Splenic peliosis is a disease characterized by widespread blood-filled cystic cavities within the parenchyma. Patients with this disease are usually asymptomatic; therefore, spontaneous or trauma-related rupture of the hemorrhagic cysts can occasionally cause life-threatening hemorrhagic shock.

Case Summary: A 51-year-old male patient with abdominal pain visited our emergency medical center two times with an interval of 2 mo. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i3.535DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031832PMC
February 2020

Laparoscopic Resection of a Splenic Artery Aneurism with Spleen Preservation.

Case Rep Surg 2020 20;2020:2873560. Epub 2020 Jan 20.

General Surgery Department, Centro Hospitalar Tâmega e Sousa, Avenida do Hospital Padre Américo, No. 210, 4560-136 Guilhufe Penafiel, Portugal.

. Splenic artery aneurisms (SAA) are the third most common aneurysms, with reported incidences up to 10.4%. Read More

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http://dx.doi.org/10.1155/2020/2873560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995316PMC
January 2020

Ruptured ulnar artery aneurysm in vascular Ehlers-Danlos syndrome.

J Vasc Surg Cases Innov Tech 2020 Mar 12;6(1):71-74. Epub 2020 Feb 12.

Section of Vascular Surgery, Michigan Medicine, Ann Arbor, Mich.

Vascular Ehlers-Danlos syndrome (vEDS), also known as type IV Ehlers-Danlos syndrome, is a rare inherited connective tissue disease that affects 1 in 50,000 to 250,000 individuals. It is characterized by catastrophic vascular complications and hollow viscus rupture; 80% of patients with vEDS experience a vascular complication by the age of 40 years, and median life expectancy is 40 to 50 years. The central vasculature and visceral vasculature are most commonly affected; peripheral involvement is much less common. Read More

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http://dx.doi.org/10.1016/j.jvscit.2019.11.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7016348PMC

Spontaneous rupture of a splenic artery aneurysm treated with a spleen-preserving procedure: a case report.

J Surg Case Rep 2020 Feb 12;2020(2):rjz412. Epub 2020 Feb 12.

1st Department of Surgery, Democritus University of Thrace, Dragana, Alexandroupolis, Greece.

Splenic artery aneurysm is a rare and life-threatening condition, in case of spontaneous rupture. A rare case of such a rupture, treated successfully with an endovascular procedure, is presented. A 21-year-old man presented to the emergency department after an episode of loss of consciousness. Read More

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http://dx.doi.org/10.1093/jscr/rjz412DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015077PMC
February 2020

Atraumatic splenic rupture was attributed to intra-cystic haemorrhage and hypersplenism in a patient with cirrhosis and portal hypertension: A case report.

SAGE Open Med Case Rep 2020 23;8:2050313X20901900. Epub 2020 Jan 23.

Department of Pathology, Affiliated Hospital of Yanbian University, Yanji, P.R. China.

Liver cirrhosis with splenomegaly and portal hypertension has been described in the medical literature as increasing the risk of splenic rupture. We report a case of atraumatic splenic rupture in a male with liver cirrhosis associated with splenomegaly, which was further complicated by hypersplenism and intra-cystic haemorrhage in the spleen. The 56-year-old man was hospitalized because of sudden onset of intermittent pain in the left quadrant abdomen with no history of trauma. Read More

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http://dx.doi.org/10.1177/2050313X20901900DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984417PMC
January 2020

[Hematemesis due to rupture of splenic artery pseudoaneurysm in association with segmental arterial mediolysis:a case report].

Nihon Shokakibyo Gakkai Zasshi 2020 ;117(2):165-170

Department of Gastroenterology and Hepatology, Kobe Red Cross Hospital.

A gastric ulcer was detected in a 54-year-old man who underwent upper gastrointestinal endoscopy for hematemesis. An abdominal contrasted computed tomography scan detected a splenic artery aneurysm adjacent to the gastric wall. Endoscopic hemostasis was thought to be risky owing to possible rupture of the aneurysm. Read More

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http://dx.doi.org/10.11405/nisshoshi.117.165DOI Listing
February 2020

Large-volume pneumoperitoneum and septic peritonitis secondary to splenic abscess rupture in a dog.

Can Vet J 2020 Feb;61(2):138-141

Department of Veterinary Small Animal Clinical Sciences, Texas A&M University, College Station, Texas 77840, USA.

An 11-year-old spayed female American pit bull terrier mixed breed dog was presented because of hyporexia and abdominal distension. The dog had large-volume free peritoneal gas on imaging and septic neutrophilic exudate on abdominocentesis. Exploratory laparotomy revealed a ruptured splenic mass draining purulent material. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6973221PMC
February 2020

Acute massive bleeding from splenic artery aneurysm rupture: a case report.

G Chir 2019 Nov-Dec;40(6):530-534

Splenic artery aneurysm (SAA) is the most common aneurysm of visceral vessels. Usually the rupture occurs into the free peritoneal cavity and causes massive bleeding, much less frequently the rupture happens into the lumen of the gastrointestinal tract. We describe the case of a 39-year-old male patient with a spontaneous rupture of a splenic artery aneurysm and an acute massive peritoneal bleeding. Read More

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February 2020

Spontaneous Rupture of a Huge Splenic Artery Aneurysm: A Case Report.

Am J Case Rep 2020 Jan 25;21:e919956. Epub 2020 Jan 25.

Department of Surgery, Dr. Sulaiman Al Habib Hospitals, Riyadh, Saudi Arabia.

BACKGROUND Splenic artery aneurysm is uncommon in a healthy young male patient. With spontaneous rupture, it can quickly become life-threatening. Our aim is to highlight the possibility of splenic artery aneurysm among healthy young patients and its presentation as recurrent abdominal pain, while pending rupture is possible, which can present a diagnostic challenge. Read More

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http://dx.doi.org/10.12659/AJCR.919956DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6998792PMC
January 2020

Resolution of Chronic Shoulder Pain after Repair of a Posttraumatic Diaphragmatic Hernia: A 22-Year Delay in Diagnosis and Treatment.

Case Rep Orthop 2020 6;2020:7984936. Epub 2020 Jan 6.

Tanner Clinic, Layton, Utah, USA.

Diagnosing traumatic diaphragmatic rupture (TDR) due to penetrating rib fractures is challenging because the lesions are often too small to be detected and may present years after injury. Patients with delays in diagnosis of TDR rarely present with orthopaedic-related complaints of pain. We report the case of a 52-year-old female who presented with chronic left shoulder pain following a motor vehicle accident (MVA). Read More

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http://dx.doi.org/10.1155/2020/7984936DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970479PMC
January 2020

A Rare Presentation of Epstein-Barr Virus Infection.

J Emerg Med 2020 Feb 20;58(2):e71-e73. Epub 2020 Jan 20.

Department of Emergency Medicine, Medical College of Wisconsin Affiliated Hospitals, Milwaukee, Wisconsin.

Background: Epstein-Barr virus (EBV) is a herpesvirus spread by intimate contact. It is known to cause infectious mononucleosis. Complications, including hematologic pathology and splenic rupture, are uncommon. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.11.043DOI Listing
February 2020

Higher prevalence of splenic artery aneurysms in hereditary hemorrhagic telangiectasia: Vascular implications and risk factors.

PLoS One 2020 23;15(1):e0226681. Epub 2020 Jan 23.

Ambroise Paré Hospital, AP-HP, Boulogne-Billancourt, University of Versailles-Saint Quentin en Yvelines, France.

Background: Splenic artery aneurysm (SAA) is a rare but potentially fatal condition. Rupture results in 25% mortality up to 75% in pregnant women with 95% fetal mortality. Brief reports suggest an increased risk of developing SAA in patients with HHT. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0226681PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6977744PMC