Is the Diagnosis of Spontaneous Rupture of a Normal Spleen Valid?

Crate, I D; Payne, M. J.

doi:10.1136/jramc-137-01-12

Cited by 47 publications

(35 citation statements)

References 6 publications

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“…They identified four criteria for the diagnosis of spontaneous splenic rupture: (1) on thorough questioning, either prior to operation or in retrospect after operation, there should be no history of trauma or unusual activity that could conceivably injure the spleen; (2) there should be no evidence of disease in other organs that are known to affect the spleen adversely and thereby could cause it to rupture; (3) there should be no evidence of perisplenic adhesions or scarring of the spleen that suggests it has been traumatized or ruptured previously; (4) without findings of hemorrhage and rupture, the spleen should be normal on both gross inspection and histological examination. Crate et al [30] added a fifth criterion: studies of acute-phase and convalescent sera should not show any significant rise in viral antibody titers that are suggestive of recent infection with viruses associated with splenic involvement. The patient, who was accepted with spontaneous splenic rupture, had these five criteria.…”

Section: Discussionmentioning

confidence: 99%

Non-traumatic splenic rupture: Report of seven cases and review of the literature

Gedik¹,

Gırgın²,

Aldemir³

et al. 2008

WJG

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AIM:To evaluate seven patients with non-traumatic splenic rupture (NSR). NSR is an uncommon dramatic abdominal emergency that requires immediate diagnosis and prompt surgical treatment to ensure the patient's survival. METHODS: Within 11 years, seven cases were evaluated for patient characteristics, anamnesis and symptoms, method of diagnosis, findings of laparotomy, and etiology of NSR. RESULTS: There were six (86%) male and one female (14%) patient, whose mean age was 36 ± 12.8 (17-56) years. We report here four cases of Plasmodium vivax malaria (cases Ⅰ-Ⅳ), one case of hemodialysis (case Ⅴ), one case of spontaneous splenic rupture (case Ⅵ), and one case of hairy cell leukemia (case Ⅶ). Splenectomy was performed in all patients. All of them made an uneventful recovery and were discharged in stable condition. CONCLUSION: NSR is a rare entity that needs a high index of suspicion for diagnosis. Using ultrasonography or computer tomography, and peritoneal aspiration of fresh blood may assist in the diagnosis of NSR. Increased awareness of NSR can enhance early diagnosis and effective treatment.

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Section: Discussionmentioning

confidence: 99%

Non-traumatic splenic rupture: Report of seven cases and review of the literature

Gedik¹,

Gırgın²,

Aldemir³

et al. 2008

WJG

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show abstract

“…In 1991, Crate & Payne [3] added a fifth criterion: Full virological studies of acute phase and convalescent sera should show no significant rise in viral antibody titers suggesting recent viral infection of the type associated with splenic involvement.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous splenic rupture precipitated by cough: A case report and a review of the literature

Wehbe

Raffi

Osborne

2008

Scandinavian Journal of Gastroenterology

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Spontaneous rupture of a normal spleen without a history of trauma is a rare clinical entity. We report on a case of atraumatic splenic rupture in a 61-year-old man who presented to the emergency department for abdominal pain and hypotension. There was no evidence of hematologic or infectious disease involving the spleen. The chronic cough described by the patient was the main trigger for the rupture. Although, spontaneous splenic rupture is rare, it is vital that physicians consider this diagnosis when evaluating patients with abdominal pain and hypotension. Failure to consider splenic rupture could be catastrophic and early diagnosis is essential for a better outcome.

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“…The review article published by Aubrey-Bassler and Sowers [4] mentioned four case reports of spontaneous rupture of spleen following vomiting [1,[17][18][19][20][21][22][23][24][25][26][27][28][29], and one case report following seizure [20]. There have also been case reports of spontaneous rupture of spleen following colonoscopy, endoscopic retrograde cholangiopancreatography, hepatic and pulmonary surgery and even emission computed tomography, laparoscopy and hysterectomy [4].…”

Section: Discussionmentioning

confidence: 99%

“…In the same review article, they cited 71 cases termed as spontaneous splenic rupture of which only 20 met all of the criteria previously mentioned. Crate and Payne added a fifth criterion: Full virological studies of acute phase and convalescent sera should show no significant rise in antibody titers suggesting recent viral infection of types known to be associated with splenic involvement [23].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Splenic Rupture Following Bouts of Coughing: A Rare Case Report and Literature Review

Biswas

Richards

2016

J Curr Surg

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Splenic rupture due to trauma is relatively common. However, spontaneous non-traumatic ruptures do occur. Causes include infection, neoplasia and infiltrative process. We present an unique case of a 59-year-old patient who presented with dyspnea and left upper abdominal discomfort following bouts of coughing, and was provisionally diagnosed as pulmonary embolism. CT scan revealed splenic rupture. Only a few case reports are published documenting spontaneous splenic rupture following coughing. The therapy of choice can vary between patients depending on the grade of splenic rupture, hemodynamic instability, availability of endovascular treatment and physician preference. Treatment should be focused on preserving splenic tissue if feasible. Non-traumatic rupture of the spleen must be considered in patients presenting with left-sided upper abdominal pain even without evident history of trauma, since early recognition and treatment can prevent serious morbidity and mortality.

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Is the Diagnosis of Spontaneous Rupture of a Normal Spleen Valid?

Cited by 47 publications

References 6 publications

Non-traumatic splenic rupture: Report of seven cases and review of the literature

Non-traumatic splenic rupture: Report of seven cases and review of the literature

Spontaneous splenic rupture precipitated by cough: A case report and a review of the literature

Spontaneous Splenic Rupture Following Bouts of Coughing: A Rare Case Report and Literature Review

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