Nonoperative treatment of splenic rupture in malaria tropica: review of literature and case report

Hamel, Christian; Blum, Johannes; Harder, F.; Kocher, Thomas

doi:10.1016/s0001-706x(02)00025-6

Cited by 43 publications

(35 citation statements)

References 29 publications

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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%

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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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Section: Discussionmentioning

confidence: 99%

“…During laparotomy repair of the spleen or absorbable mesh encasement (splenorrhaphy) to preserve splenic functions are options depending on the severity and hemodynamic status [25,29,30]. Transcatheter embolization is a viable alternative to surgery especially when the patients respond to volume resuscitation and remain stable.…”

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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“…In acute malaria, the altered splenic structure is a result of the highly activated lymphatic tissue of the organ and the marked stasis in the splenic sinuses caused by deformed parasite-containing erythrocytes with altered surface characteristics [4,5]. These changes in the splenic structure can lead to asymptomatic enlargement or complications such as hematoma, rupture, hypersplenism, ectopic spleen, torsion, or cyst formation [6]. Whether or not the enlarged spleen of chronic malaria is more prone to rupture than a normal spleen is disputed.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Splenic Rupture, in Tertian Malaria

Gockel¹,

Heidemann

Lorenz

et al. 2006

Infection

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We report a case of tertian malaria in a 36-year-old Caucasian male complicated by spontaneous splenic rupture 2 months after returning from Kenya. The ruptured and enlarged spleen displaying multiple subcapsular hemorrhages was surgically resected. Histological examination revealed a marked enlargement of the red pulp and a reduced white pulp in addition to hyperemia of the spleen. Tertian malaria was diagnosed by peripheral blood smear and elevated antibody titer against Plasmodium vivax. The patient underwent antimalarial therapy with chloroquine and primaquine and the further course was uneventful. Etiopathology, differential diagnosis and therapy of this rare complication in malaria are discussed.

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“…62 Although splenomegaly was traditionally treated surgically by splenectomy, conservative splenic conserving strategies are now advocated, particularly in patients with a high likelihood of future exposure to malaria infection. 63 In patients with a history of malaria infection, it is important to find out if they have undergone a splenectomy as specific antibiotic prophylaxis may be required with future surgery.…”

Section: Gastrointestinal and Hepaticmentioning

confidence: 99%

Perioperative considerations of the patient with malaria

Soltanifar

Carvalho

Sultan

2014

Can J Anesth/J Can Anesth

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Purpose Malaria is a life-threatening infectious disease caused by the Plasmodium parasite. Increased global travel has resulted in an escalation in the number of imported cases seen in developed countries. Patients with malaria may present for surgery in both endemic and nonendemic countries. This article reviews the perioperative considerations when managing patients with malaria. Source A literature review of anesthesia, perioperative care, and malaria-related articles was performed using the MEDLINE Ò , EMBASE TM , and Web of Science databases to identify relevant articles published in English during . Of the 303 articles matching the search criteria, 265 were excluded based on title and abstract. Eleven of the remaining 38 articles were relevant to anesthesia/perioperative care, and 27 articles were identified as having direct relevance to critical care medicine. Principal findings The majority of imported malaria cases are caused by the falciparum species, which is associated with the greatest degree of morbidity and mortality. Various organ systems may be impacted as a consequence of changes in the structure and function of parasitized erythrocytes. Preoperative assessment should focus on establishing the species of malaria, the severity of disease, assessing the degree of end-organ impairment, and initiating treatment of malaria prior to surgery. Intravenous artesunate is the treatment of choice for severe falciparum malaria. Quinine is a second-line agent but has a narrow therapeutic index and particularly hazardous side effects. Intraoperatively, attention should focus on fluid management, dynamics of cerebral blood flow, and avoidance of hypoglycemia. Postoperative care of severe cases should ideally take place in a critical care unit as there may be ongoing requirements for multi-organ support, including renal replacement therapy, ventilation, and/or inotropic support. The safety of neuraxial anesthesia has not been well studied in the setting of malaria. Conclusions Malaria remains one of the most devastating infectious diseases worldwide. Multiple organ systems can be impacted as a consequence of changes in structure and function of parasitized erythrocytes. Safe perioperative management requires a sound knowledge of all these potential system effects. RésuméObjectif Le paludisme est une maladie infectieuse possiblement fatale due au parasite Plasmodium. La multiplication des voyages à travers le monde a entraîné un accroissement du nombre de cas importés observés dans les pays développés. Les patients atteints de paludisme peuvent nécessiter une chirurgie, aussi bien dans les pays où la maladie est endémique que dans les autres. Cet article passe en revue les considérations périopératoires lors de la prise en charge de patients atteints de paludisme. Source Une revue de la littérature à la recherche d'articles d'anesthésie, de soins périopératoires et en Author contributions Daniel Soltanifar, Brendan Carvalho, and Pervez Sultan all made substantial contributions to the literature review, ...

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Nonoperative treatment of splenic rupture in malaria tropica: review of literature and case report

Cited by 43 publications

References 29 publications

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

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

Spontaneous Splenic Rupture, in Tertian Malaria

Perioperative considerations of the patient with malaria

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