Splenic Hematoma Mimicking Angiosarcoma: A Case Report

Akküçük, Seçkin; Aydogan, Akin; Gökçe, Hasan; Davran, Ramazan; Karcioglu, Murat

doi:10.1155/2012/183458

Cited by 3 publications

(2 citation statements)

References 6 publications

(22 reference statements)

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“…Diagnosis is usually by imaging, with CT revealing an enlarged spleen with heterogeneous masses, and simultaneous hyper and hypodense areas 9. Complete parenchymal replacement by the tumour is another possibility10 11 and distinction between spontaneous rupture of angiosarcoma and rupture of haematoma can sometimes be difficult 12. In the case we report the spleen presented only a discrete enlargement.…”

Section: Discussionmentioning

confidence: 84%

Rupture of splenic angiosarcoma: a rare cause of spontaneous haemoperitoneum

et al. 2013

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Primary splenic angiosarcoma, a very rare mesenchymal tumour of endothelial cell origin, comprises 2.6% of all cases of angiosarcoma and 10% of all primitive splenic tumours. Clinical presentation is usually unspecific, with abdominal pain and anaemia. Rupture is a rare complication and should prompt emergency splenectomy. Prognosis is usually poor because of liver, lung or bone metastases. We describe the case of an 80-year-old woman admitted to the emergency room with syncope, hypotension and vomiting. She stabilised after fluid resuscitation. Investigations showed anaemia, a large, heterogeneous spleen and free fluid in the abdominal cavity. She underwent emergency splenectomy. Pathology revealed primary splenic angiosarcoma. The postoperative period was complicated by respiratory failure but the patient made an otherwise uneventful course and was discharged 2 weeks after surgery. Six months after the operation she remains free of disease with no adjuvant treatment.

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Section: Discussionmentioning

confidence: 84%

Rupture of splenic angiosarcoma: a rare cause of spontaneous haemoperitoneum

et al. 2013

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“…Dronamraju, et al . 5 reported ultrasonography-guided percutaneous drainage of subcapsular splenic hematoma and splenic artery embolization as a safe and effective option to prevent splenic rupture in a patient with DHF 17 .…”

Section: Discussionmentioning

confidence: 99%

Spontaneous splenic hematoma secondary to dengue infection: a rare case report

Pahari

Basukala

Kunwar

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and Importance: Dengue infection may have various surgical complications. Splenic hematoma is a rare complication of dengue hemorrhagic fever and may be life-threatening. Case Presentation: A 54-year-old male, diagnosed with dengue infection detected at another hospital, presented on the 10th day of fever with left upper abdominal pain for 7 days without history of trauma. Urgent ultrasonography of the abdomen revealed findings suggestive of a splenic subcapsular hematoma, which was confirmed by computed tomography scan. The grade II splenic hematoma was being managed conservatively. Unfortunately, the patient developed hospital acquired pneumonia and died from septic shock. Clinical Discussion: Hemorrhagic manifestations are seen in the febrile and critical phase of dengue, but the spleen is infrequently involved. Splenic hematoma can lead to splenic rupture, which can be rapidly fatal. Specific treatment guidelines of such hematomas are needed in the context of dengue infection, as the treatment modality is controversial. Conclusion: Patients must be carefully evaluated for the complications and surgical manifestations of dengue as abdominal pain and hypotension from splenic hematoma may be misinterpreted as components of dengue hemorrhagic fever and dengue shock syndrome.

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Ultrasound Diagnosis and Minimally Invasive Treatment of Posttraumatic Hematomas of the Spleen

Тюрюмина

Чижова

2019

Acta biomedica scientifica

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The work presents the analysis of ultrasound diagnostic of traumatic hematomas of the spleen in 12 patients after blunt abdominal trauma. Traumatic injuries of large (4 patients) and giant (5 patients) sizes prevailed. Only 3 patients had medium sized traumatic lesion. Ultrasound examination was performed for all patients as a primary procedure and for dynamic observation. We tracked evolution of traumatic spleen injuries and identified four stages of pathological process in case of aseptic development: the stage of “fresh hemorrhage”, the stage of “formed clot”, the stage of “aseptic lysis of the clot”, the stage of “connective tissue organization”. We determined the evidence of pyogenesis of spleen hematomas, identified the stage “bacterial lysis of the clot” and stage of “forming capsules”. We determined the indications and contraindications for the minimally invasive treatment of spleen hematoma. Percutaneous evacuation of the spleen hematoma was performed in all patients. In four cases of minimally invasive treatment was puncture. In one patient the treatment was completed with a single puncture, in 3 patients – with a double one. Drainage of spleen hematomas was performed in 8 patients. We analyzed the results of minimally invasive treatment of traumatic injuries of the spleen under ultrasound control. Minimally invasive treatment was successful in 11 patients. Only 1 patient was operated for post-traumatic aneurysm of the splenic artery due to the continuing bleeding into hematoma.

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Splenic Hematoma Mimicking Angiosarcoma: A Case Report

Cited by 3 publications

References 6 publications

Rupture of splenic angiosarcoma: a rare cause of spontaneous haemoperitoneum

Rupture of splenic angiosarcoma: a rare cause of spontaneous haemoperitoneum

Spontaneous splenic hematoma secondary to dengue infection: a rare case report

Ultrasound Diagnosis and Minimally Invasive Treatment of Posttraumatic Hematomas of the Spleen

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