Adolescent With Spontaneous Splenic Rupture as a Cause of Hemoperitoneum in the Emergency Department

Abstract

Spontaneous rupture of the spleen is a rare clinical condition that usually presents as a complication of a background pathology and can become a life-threatening condition if it is not diagnosed in time. We present the case of a 15-year-old girl with abdominal pain and clinical data of hypovolemic shock. The simple tomographic study revealed deformation of the splenic architecture and hemoperitoneum. Surgery demonstrated splenic rupture with ptosis spleen and intraperitoneal free blood. The anatomopathological examination showed the presence of splenomegaly and findings suggestive of peliosis. It also highlights the known causes related to spontaneous splenic rupture.

Ruptura esplénica espontánea en paciente con litiasis renal derecha

“…Se realizó una búsqueda sobre RS en PubMed con uso de terminología MeSH y Google académico, encontrando dos estudios retrospectivos. En un estudio de revisión se encontraron 613 casos en el periodo de 1950 a 2011 8 , en otro se encontraron 845 pacientes durante 1980 a 2008 9 .…”