Spontaneous rupture of a benign cavernous haemangioma of the spleen following thrombolysis

Norris, Paul; Hughes, Sarah; Strachan, Caroline

doi:10.1053/ejvs.2002.1839

Cited by 8 publications

(6 citation statements)

References 4 publications

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“…2 Additionally, several cases have reported spontaneous rupture of splenic hemangiomas after thrombolysis. 9,10 In this case, the patient presented with a ruptured splenic hemangioma, which led to an obstructive ileus due to hemoperitoneum. Obstructive ileus is characterized by impaired intestinal motility caused by non-mechanical factors.…”

Section: Discussionmentioning

confidence: 93%

Ruptured Splenic Hemangioma Presenting As Small Bowel Obstruction: A Case Report

Raef¹,

Cole²

2020

Journal of Maine Medical Center

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Splenic hemangioma is a rare vascular tumor of the spleen. These lesions are typically asymptomatic and can present with rupture and hemoperitoneum. Clinical findings:We report the case of a patient who had no history of abdominal surgery before presenting with symptoms and imaging consistent with small bowel obstruction. The patient also had a splenic lesion.A diagnostic laparoscopy revealed a ruptured splenic hemangioma with obstructive ileus due to hemoperitoneum. The patient then underwent splenectomy to prevent recurrent bleeding. Conclusions:Splenic hemangiomas are rare vascular neoplasms of the spleen that can be complicated by rupture. While obstructive ileus is a common post-operative phenomenon, it is rarely seen in association with vascular anomalies. This case represents a rare presentation of small bowel obstruction, highlighting the importance of using diagnostic laparoscopy in patients with no previous abdominal surgery.

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Section: Discussionmentioning

confidence: 93%

Ruptured Splenic Hemangioma Presenting As Small Bowel Obstruction: A Case Report

Raef¹,

Cole²

2020

Journal of Maine Medical Center

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“…9,10 Spontaneous rupture of splenic hemangioma post thrombolysis is very rare with only 1 case reported by Norris et al in English literature. 6 Weiss et al also reported a case of spontaneous rupture of spleen post subcutaneous heparin therapy. 7 Mainstay of treatment in case rupture is spleenectomy.…”

Section: Discussionmentioning

confidence: 98%

“…5 They present from generalized tenderness with rigidity to a full blown hypovolemic shock. 6,7 It may mimic MI, pulmonary embolism, cardiogenic shock. Splenic hemangioma rupture is a rare cause of abdominal hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous rupture of spleenic hemangioma: a case report

Balineni¹,

Kamal²,

Pathivada³

et al. 2019

Int Surg J

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A 40 year old female presented with complaints of dysphagia, and regurgitation. On examination abdomen was soft, non tender, not distended and had no palpable organomeagaly. Patient was diagnosed of hiatus hernia after undergoing upper gastro intestinal scopy and barium swallow. Patient was planned for nissens laproscopic fundoplication. Intra-operatively patient was found to be having a large splenic hemangioma. Postoperatively patient had deep vein thrombosis for which intra-venous heparin was given. Post heparinization patient went into shock and ultrasound revealed a large collection in peri-splenic, spleeno-renal spaces. Spleenic hemangiomas are the 2nd common benign tumors of the spleen. Incidence of spleenic hemangioma is 0.02-0.16%. Spontaneous rupture of splenic hemangioma occurs rarely and is dreadly complication of splenic hemangioma. They may represent a congenital nevus. Patients present with spleenomegaly, abdominal pain, hypotension and dyspnea. A ultrasound would show a fluid collection in peri splenic areas. Emergency splenectomy is the treatment of choice for these patients.

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Section: Introductionunclassified

“…O risco mais grave dos hemangiomas maiores é a sua ruptura com conseqüente hemorragia grave 12,15 . Calcula-se que cerca de um quarto dos hemangiomas grandes rompem, portanto a indicação do tratamento operatório torna-se inquestionável 12,15 . Apesar de existirem alguns relatos de embolização dos vasos que nutrem o hemangioma 15,16,17 e de terapia antiangiogênica 18 , o tratamento proposto na literatura é a esplenectomia total por laparotomia ou laparoscopia 11,12,14,19,20,21,22 .…”

Section: Introductionunclassified

Esplenectomia parcial para tratar hemangioma esplênico

Petroianu

Brandt

Alencar

2008

Rev. Col. Bras. Cir.

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Apesar de a esplenectomia ser eficaz na abordagem terapêutica de pacientes com hemangioma esplênico, esse procedimento é acompanhado de elevada morbidade e até mortalidade, principalmente devido à sepse, quando realizado em crianças e adolescentes com sistema imunitário ainda imaturo. Para prevenir os efeitos adversos da asplenia, propõe-se neste artigo a esplenectomia parcial, com a retirada apenas da região do hemangioma, mantendo o restante do baço e preservando suas importantes funções.

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Spontaneous rupture of a benign cavernous haemangioma of the spleen following thrombolysis

Cited by 8 publications

References 4 publications

Ruptured Splenic Hemangioma Presenting As Small Bowel Obstruction: A Case Report

Ruptured Splenic Hemangioma Presenting As Small Bowel Obstruction: A Case Report

Spontaneous rupture of spleenic hemangioma: a case report

Esplenectomia parcial para tratar hemangioma esplênico

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