Spontaneous splenic haematoma in a patient on hemodialysis: A case report

Pandiaraja, Jayabal

doi:10.4103/ijn.ijn_285_16

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Depending on the haemodynamic status of the patient, exploratory laparotomy may be performed prior to any imaging and diagnosis is made intraoperatively [5][6]. Conservative management with blood transfusion and correction of underlying aetiology can be taken in haemodynamically stable patient [5] [6].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Splenic Haematoma Presenting as Perforated Acute Appendicitis in Young Adult

Rahman¹,

Salleh²

2020

IJSRP

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Background: Spontaneous splenic haematoma, in the absence of trauma is rare in young immunocompetent adult. Malignancy, infection, and medication are some of the aetiologies identified. Diagnosing spontaneous splenic haematoma is a challenge as it may mimic other disease. Case Presentation: A 21-year-old male presented to emergency district hospital with umbilical pain migrating to right iliac fossa. Physical examination revealed right iliac fossa tenderness but no peritonism. Provisional diagnosis of perforated appendicitis was made and patient was planned for open appendicectomy via Lanz incision. Reassessment revealed generalized abdominal pain and patient underwent lower midline laparotomy. Intraoperatively there was 1.8L of haemoperitoneum and haematoma was found at splenic hilum. Splenectomy was performed and patient was discharged well with prophylaxis antibiotic. Conclusion: Spontaneous splenic haematoma is rare and should be considered in young immunocompetent adult presenting with abdominal pain.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Splenic Haematoma Presenting as Perforated Acute Appendicitis in Young Adult

Rahman¹,

Salleh²

2020

IJSRP

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Conservatively Managed Spontaneous Splenic Rupture in a Hemodialysis Patient

Varma,

Singla,

Saxena

2024

IJN

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A Case Report of an Abdominal Pain: Spontaneous Splenic Hematoma with Unknown Etiology

Shafiee

Eshaghhosseini

2018

Qom Univ Med Sci J

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Background and Objectives: Splenic hematoma is one of the common complications following abdominal blunt trauma, but non-traumatic splenic hematomas are not common and occurs in some cases, such as hematologic disorders and/or infections. Idiopathic splenic hematoma that occurs spontaneously without an underlying disease, is a rare occurrence, which its diagnosis needs strong clinical suspicion. Case report:The patient was a young man who referred to the emergency department with sustained lower abdominal pain during the past day. The pain aggravated by bending and was worsened by lying down. The patient reported no specific concomitant symptoms. His past medical history and drug history were negative. Chest x-ray and laboratory tests did not show any abnormal finding. In the upright radiograph of the abdomen, the shadow of the spleen seemed larger than the normal size. Abdominal sonography showed extensive subcutaneous hematoma of the spleen, which was confirmed by CT scan. The patient was under observation in the intensive care unit for 48 hours, that due to the pain intensification of the candidate, the splenectomy was performed. Pathologic study of splenic tissue was normal and he discharged within one week with satisfactory general health condition.

show abstract

Spontaneous splenic haematoma in a patient on hemodialysis: A case report

Cited by 3 publications

References 7 publications

Spontaneous Splenic Haematoma Presenting as Perforated Acute Appendicitis in Young Adult

Spontaneous Splenic Haematoma Presenting as Perforated Acute Appendicitis in Young Adult

Conservatively Managed Spontaneous Splenic Rupture in a Hemodialysis Patient

A Case Report of an Abdominal Pain: Spontaneous Splenic Hematoma with Unknown Etiology

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