日臨外会誌 81( 9 ) ,1889-1895,2020 DepartmentsofSurgery 1) andPathology 2) ,NationalHospitalOrganizationNagoyaMedicalCenter A70-year-oldmanwithknownHIVinfectionpresentedwithabdominalpainandwobblewithnohistoryoftrauma.Hewasadmittedforfurtherevaluationofatraumaticsplenicruptureasatentativediagnosis based on computed tomography (CT) findings. Imaging tests showed multiple hematomas in the spleen,aswellasasuspectedsplenicaneurysm.BecausethesplenicrupturewasaccompaniedbyHIV infection,opensplenectomywasperformedtoclarifythecauseofsplenicruptureandpreventrebleeding. Intraoperative findings showed hemorrhagic ascites, a 5-cm ruptured hematoma on the splenic surface, andmultiplenon-rupturedhematomasinthespleen.Pathologicalexaminationshowednoevidenceofinfectiousdiseases,suchastuberculosis,orneoplasticlesions.AnaneurysmcausedbyHIV-associatedvasculopathy had been considered;however, no evidence of aneurysms or vasculopathy in the intima was observed. There have been few reports of splenic rupture in patients with HIV infection;however, it shouldbenotedthatHIVinfectioncanplayanetiologicalroleinatraumaticsplenicrupturewhenHIVinfectionispresentwithsplenomegaly,tuberculosis,neoplasticdisease,orHIV-associatedvasculopathy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.