2017
DOI: 10.1177/175045891702701202
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Identification and Management of Non-traumatic Splenic Rupture

Abstract: A 43-year old previously fit and well gentleman presented to the emergency department (ED) with a two day history of worsening epigastric pain. He had had coryzal symptoms the preceding week but had no other past medical history. He was haemodynamically stable at presentation and an ultrasound scan (US) performed in the ED could not definitively rule out intra-abdominal fluid. In view of his tender abdomen on examination and a haemoglobin level of 9.2g/dL, a computerised tomography (CT) scan was performed and … Show more

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Cited by 4 publications
(3 citation statements)
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References 11 publications
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“…Infectious and hematological diseases represent more than half of its causes, infections are due to: infectious mononucleosis, malaria and cytomegalovirus, while hematological causes are mainly due to malignant tumors such as leukemia, Hodgkin's and non-Hodgkin's lymphomas (NHL) [ 3 ]. Other cases of spontaneous rupture of the spleen include: congenital splenic lesions such as hamartoma and hemangioma, spleen infarction, clotting disorders, thrombocytopenia, autoimmune diseases, hemolytic anemia, pregnancy, amyloidosis, portal hypertension and focal splenic lesions [ 1 , 4 ].…”
Section: Discussionmentioning
confidence: 99%
“…Infectious and hematological diseases represent more than half of its causes, infections are due to: infectious mononucleosis, malaria and cytomegalovirus, while hematological causes are mainly due to malignant tumors such as leukemia, Hodgkin's and non-Hodgkin's lymphomas (NHL) [ 3 ]. Other cases of spontaneous rupture of the spleen include: congenital splenic lesions such as hamartoma and hemangioma, spleen infarction, clotting disorders, thrombocytopenia, autoimmune diseases, hemolytic anemia, pregnancy, amyloidosis, portal hypertension and focal splenic lesions [ 1 , 4 ].…”
Section: Discussionmentioning
confidence: 99%
“…Splenic rupture is the leading cause of death in infectious mononucleosis and should be considered in any patient with abdominal pain and known or suspected acute EBV infection[15,16]. The presence of left shoulder pain in this setting is known as Kehr’s sign and is present in 17% of patients with ASR[17].…”
Section: Discussionmentioning
confidence: 99%
“…Infectious mononucleosis (IM) is usually a benign, selflimiting illness; younger patients often have a milder course, with the only exception of subjects with congenital immune deficiency. Splenic rupture is thus the leading cause of death [3,4].…”
Section: Cmentioning
confidence: 99%