Splenic Rupture and Massive Hemoperitoneum Due to Coagulopathy after Atheris Viper Snakebite

Abstract

Coagulopathy with defibrination is one of symptoms accompanying snakebite envenoming, where life-threatening complications such as massive bleeding and organ hematomas formation can occur. Here, we report a case of hemocoagulation failure due to bite by African Great Lakes bush viper Atheris nitschei with impossibility of specific treatment for absence of antivenom and its life-threatening complication: very rare and unexpected atraumatic splenic rupture with massive hemoperitoneum and necessity of urgent splenectomy.

Hirata's disease (insulin autoimmune syndrome) following envenomation by a common krait

“…In addition, rare envenomation effects such as priapism, splenic rupture, pituitary failure and pseudoaneurysm may develop shortly after envenomation or subsequent to discharge and create challenges for healthcare providers [3][4][5]. Insulin autoimmune syndrome (IAS) or Hirata's disease, is a rare form of autoimmune hypoglycaemia which may have an insidious onset and is often difficult to diagnose [6].…”