Splenic mass with remote trauma history: a management dilemma

McCarthy, Colleen; O’Brien, Geraldine; Kennedy, Joseph P.; Broe, Patrick J.

doi:10.1007/s11845-010-0612-1

Cited by 3 publications

(5 citation statements)

References 7 publications

(7 reference statements)

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“…Almost two-thirds of blunt abdominal traumas causing splenic injuries occur due to road traffic accident. Subcapsular hematomas are seen in 37% of splenic injuries [1, 2]. Forty to seventy percent of these hematomas can be managed nonoperatively [1–3].…”

Section: Discussionmentioning

confidence: 99%

“…Most of the subcapsular hematomas are resolved and then reabsorbed spontaneously within 1-2 months, but some hematomas lead to delayed rupture. Rarely, a little number of the subcapsular hematomas can be organized and become calcified splenic masses [1, 2]. Noncalcified hematomas that did not resolve spontaneously can be drained by percutaneous aspiration methods [1].…”

Section: Discussionmentioning

confidence: 99%

“…During clinical examination, physicians rarely can palpate the splenic hematomas [1–3]. Radiologic differentiation of organized subcapsular hematoma from other malign or benign splenic masses usually cannot be possible [2]. …”

Section: Discussionmentioning

confidence: 99%

“…Splenic masses have disadvantages in diagnosis because of infrequency and inadequate investigation with laboratory and radiologic imaging [2, 5]. On the other hand, the presence of blunt abdominal trauma history should suggest organized subcapsular hematoma.…”

Section: Discussionmentioning

confidence: 99%

“…The spleen is one of the most injured organs after blunt abdominal trauma [1, 2]. Of the splenic injuries due to blunt abdominal trauma, 40–70% can be followed without surgical intervention [1–3].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Splenic Hematoma Mimicking Angiosarcoma: A Case Report

Akküçük

Aydogan²,

Gökçe³

et al. 2012

Case Reports in Oncological Medicine

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Introduction. Splenic hematomas usually occur after blunt abdominal trauma. Most of the subcapsular hematomas will be resolved and reabsorbed spontaneously. However in rare cases, some of them organize and form calcified splenic masses. Angiosarcoma is an uncommon primary tumor of the spleen. Splenic angiosarcoma behaves extremely aggressive and has poor prognosis. Case Presentation. We report a forty-nine-year-old white male with organized splenic hematoma due to traffic accident mimicking splenic angiosarcoma. Conclusion. Both angiosarcoma and splenic organized hematoma have nonspecific symptoms and clinical findings. Because of the risk of hemorrhage and rupture, fine-needle biopsy should not be preferred. In case of splenic masses, excision and spleen-conserving surgery or total splenectomy should be performed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Splenic Hematoma Mimicking Angiosarcoma: A Case Report

Akküçük

Aydogan²,

Gökçe³

et al. 2012

Case Reports in Oncological Medicine

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Giant Splenic Hematoma can be a Hidden Condition

Jensen¹,

Hangaard²

2014

Polish Journal of Surgery

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An otherwise healthy 28-year old male presented to his general practitioner with dyspnoea in the morning and abdominal discomfort through months. Four months earlier, he had experienced a blunt trauma to the left side of his abdomen. Abdominal ultrasonography revealed a splenic hematoma and the patient was admitted to hospital. Vital signs were normal, and blood samples revealed a marginal anaemia and elevated C-reactive protein, but were otherwise normal. Computed tomography showed an 18 centimetre wide splenic hematoma. The patient was referred to another hospital for conservative treatment in the outpatient clinic.

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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 mass with remote trauma history: a management dilemma

Abstract: Radiological investigations could not reassure us that the splenic abnormalities were benign, and their management was the subject of some debate.

Cited by 3 publications

References 7 publications

Splenic Hematoma Mimicking Angiosarcoma: A Case Report

Splenic Hematoma Mimicking Angiosarcoma: A Case Report

Giant Splenic Hematoma can be a Hidden Condition

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

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