Rupture spontanée de la rate chez un enfant

Alaoui, Charifa Rachidi; Raiss, Mohamed; Khatalla, K.; Elmadi, Aziz; Bouabdellah, Youssef

doi:10.11604/pamj.2019.32.184.4260

Cited by 4 publications

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References 4 publications

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“…Ультразвуковое исследование служит быстрым и чувствительным методом диагностики разрыва селезенки, обнаружения свободной жидкости и является методом выбора у гемодинамически нестабильных пациентов. Компьютерная томография является подтверждающим методом, позволяющим врачу оценить степень повреждения селезенки [8,27].…”

Section: Discussionunclassified

“…В настоящее время в мире инфицированность взрослого населения вирусом Эпштейна-Барр достигает 90%-95% [9,13]. Анализ эпидемиологической ситуации на территории Российской Федерации за 16 лет свидетельствует о росте заболеваемости во всех возрастных группах (12,8 на 100 000 населения) [3,4]. За последние 25 лет в нашей стране выявлен устойчивый рост заболеваемости ИМ, существует цикличность подъема и снижения с временным интервалом в 5-7 лет.…”

Section: Introductionunclassified

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Splenic morphometric characteristics in infectious mononucleosis (ultrasonic study)

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et al. 2020

Russian Journal of Infection and Immunity

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Summary. The spleen is a secondary immune and the largest organ of the reticulo-endothelial system, actively involved in the process of infectious mononucleosis. At the clinical level, an assessment of the degree of organ involvement in the pathological process is unlikely. As a rule, for the diagnosis of splenomegaly, only palpation and percussion determination of the size of the spleen is used, which is a late and subjective sign of possible splenomegaly. Ultrasound examination provides ample opportunity to study the size of the spleen in infectious mononucleosis. The purpose of this study was to identify morphometric and dopplerographic changes in the spleen in patients with infectious mononucleosis. Materials and methods. The study group consisted of 24 patients with infectious mononucleosis. The control group is represented by 30 healthy students of the medical institute. All participants in the study underwent ultrasound examination of the spleen. Echostructure of the organ, clarity of the contour was evaluated, linear dimensions were measured: length, width, thickness of the spleen. The speed indicators in the splenic artery and vein in the gates of the spleen were measured. The positioning of the elastographic window during fibroelastometry was performed in the standard seroscale examination window. Measurements were taken at 5 or more points of the spleen parenchyma with a distance of at least 4-5 mm from the capsular zone and the zone of large vessels. Based on the obtained morphometric measurements, the mass and spleen mass coefficient (CMS), the ratio of spleen mass and growth and body surface area were calculated. Results. The study found that in patients with infectious mononucleosis, the length, thickness and weight of the spleen are statistically significantly greater than in healthy ones. But the mass of the organ varies widely. Therefore, CMS was calculated, which is an objective criterion for the size of the spleen. It was revealed that with infectious mononucleosis there are three variants of the spleen response: decrease, CMR less than 1.5; normal value, CCM is in the range from 1.5 to 4; splenomegaly, CMS more than 4. Splenomegaly is associated with increased organ stiffness, peak blood flow velocity and pressure in v. Lienalis, as well as periportal lymphadenopathy. Identified changes are characteristic of young patients. Conclusion. Ultrasound examination of the spleen is of high diagnostic value in patients with infectious mononucleosis. Using the method, an accurate assessment of the state of the immune organs in the acute period of the disease is possible. At the preclinical level, gradation of splenomegaly is possible depending on its severity, assessment of hemodynamics and organ stiffness.

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Section: Introductionunclassified

Splenic morphometric characteristics in infectious mononucleosis (ultrasonic study)

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et al. 2020

Russian Journal of Infection and Immunity

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Atraumatic splenic rupture in a child with COVID 19

et al. 2022

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Background The majority of children with COVID-19 have only minor symptoms or none at all. COVID-19, on the other hand, can cause serious illness in some children, necessitating hospitalization, intensive care, and invasive ventilation. Many studies have revealed that SARS-CoV-2 affects not only the respiratory system, but also other vital organs in the body. We report here a child with an atraumatic splenic rupture as the initial and only manifestation of COVID-19. Case presentation A 13-year-old boy with clinical signs of acute abdomen, left-sided abdominal pain, and hemodynamic instability was admitted to the PICU in critical condition. His parents denied any trauma had occurred. In addition to imaging tests, a nasopharyngeal swab was taken for COVID-19 testing, which was positive. The thoracic CT scan was normal, whereas the abdominal CT scan revealed hemoperitoneum, splenic rupture, and free fluid in the abdomen. Conclusions The spleen is one of the organs targeted by the SARS-CoV-2. Splenic rupture, a potentially fatal and uncommon complication of COVID-19, can be the first and only clinical manifestation of the disease in children. All pediatricians should be aware of the possibility of atraumatic splenic rupture in children with COVID-19.

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Ultrasonic characteristics of immune bodies in children with infectious mononucleosis

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et al. 2021

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Diagnostic morphometric criteria for splenomegaly in children with infectious mononucleosis are established using ultrasound. The study included 29 children with infectious mononucleosis. The average age is 11.7 ± 3.5 years. A morphometric measurement of the length, width and thickness of the spleen, elastometry (EM), and lymph nodes were evaluated. The spleen mass was determined by method of O.V. Vozgoment, coefficients: the ratio of spleen mass to body mass (KMS, Km), body length (KI), body surface area (Ks). The average CCM value was 6,47 ± 2,8, the absolute value of the indicator varied from 1,9 to 14,2. According to the CCM, patients are divided into 3 groups: group A – 6 (20,7%), group B – 11 (38%), group C – 12 (41,3%). The average mass of the spleen was 332,5 ± 119.6 g, the CMS – from 7,7 to 14,2, the average value of the indicator – 8,6 ± 1,9. In group B the mass of the spleen, compared with group C is 1,2 times less. In group C the spleen mass is statistically significantly greater compared with groups A and B. In group C, spleen rigidity was increased in 42,9% of cases. The average EM value is 15,8 ± 4,8 kPa. A negative correlation between the average strength between EM and age (r = – 0,65, p = 0,01) was revealed. A direct relationship was found between the mass of the spleen and the CMS, and lymphadenopathy of various localization, often periportal lymph nodes.

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Rupture spontanée de la rate chez un enfant

Cited by 4 publications

References 4 publications

Splenic morphometric characteristics in infectious mononucleosis (ultrasonic study)

Splenic morphometric characteristics in infectious mononucleosis (ultrasonic study)

Atraumatic splenic rupture in a child with COVID 19

Ultrasonic characteristics of immune bodies in children with infectious mononucleosis

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