Hemorrhagic shock from post-traumatic rupture of microcystic splenic lymphangioma: A case report and review of the literature

Abstract

Highlights Lymphangioma is considered an abnormal proliferation of lymphatic vessels. Preoperative diagnosis of isolated splenic lymphangioma is very difficult because it is rare and often asymptomatic. Undiagnosed microcystic splenic lymphangioma represents a risk factor for post-traumatic splenic rupture, even after minor abdominal trauma. Total splenectomy is considered the correct treatment to avoid complications. Definitive diagnosis of isolated splenic lymphangioma can be provided after a histopathological examination.

Splenic Lymphangioma Mimicking Lymphomatous Involvement: A Case Report with Review of the Literature

“…Moreover, it can lead to coagulopathy, hemorrhage, and portal hypertension. Physical examination is unremarkable or may detect a palpable mass [ 1 , 11 – 13 ].…”

Non-traumatic rupture of voluminous non-typhoid Salmonella splenic abscess presenting with peritonitis: Case report and review of the literature

“…In our clinical case the patient presented with high-grade fever, generalized abdominal pain and peritonitis. Although traumatic rupture of spleen is more common [ 15 ], spontaneous rupture of SA is uncommon and it must be suspected in case of acute abdomen and signs of haemodynamic compromise in a background of sepsis, malignancy haematological disorders, acute viral infection and immunosuppression. In our clinical case there was no suspicion of splenic rupture due to the lack of known risk factors and non-typhoid Salmonella SA appears to be a sequelae of bacteremic episode in a immunocompetent patient with numerous splenic malformative cysts.…”

Idiopathic giant pancreatic pseudocyst presenting in emergency with abdominal compartment syndrome and intestinal occlusion: Case report and review of the literature

“…PP can be complicated by rupture, infection, bleeding inside the cyst, esophageal obstruction, gastric or duodenal outlet obstruction, stenosis of common bile duct, cardiac compression, bilateral ureteral obstruction or necrosis, compression of large vessels, ascites or pancreatico-pleural fistula [ 6 , 8 , 9 ]. PP may also cause splenic rupture [ 10 ] as other pathologies [ 11 , 12 ]. In this case report the symptomatic IGPP was compressing and displacing the surrounding organs and vessels including the inferior vena cava leading to intestinal obstruction, IAH and ACS.…”

“… Highlights Idiopathic giant pancreatic pseudocyst (IGPP) is a rare pancreatic disease. Diagnosis of IGPP in emergency [ [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] ] is a challenge because of its rarity, the absence of history of pancreatitis and specific symptoms and signs. IGPP may cause intestinal obstruction, intra-abdominal hypertension and abdominal compartment syndrome requiring a decompressive laparotomy.…”