Successful Nonoperative Management of Spontaneous Splenic Hematoma and Hemoperitoneum due to CMV Infection

Lianos, Georgios D; Ignatiadou, Eleftheria; Bali, Christina; Harissis, Haralampos V.; Katsios, Christos

doi:10.1155/2012/328474

Cited by 4 publications

(6 citation statements)

References 13 publications

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“…Lianos et al listed five cases of cytomegalovirus related splenic haematoma. All patients were between the age of 22 to 30-year-old with three of them has no comorbid (immunocompetent adult) [3]. Cytomegalovirus infection could be the underlying aetiology in our case too.…”

Section: Discussionmentioning

confidence: 59%

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: 59%

Spontaneous Splenic Haematoma Presenting as Perforated Acute Appendicitis in Young Adult

Rahman¹,

Salleh²

2020

IJSRP

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“…[ 1 ] It is considered pathological when postsplenectomy specimen showed abnormal pathological features whereas spontaneous when specimen showed normal histology. [ 2 ]…”

Section: Discussionmentioning

confidence: 99%

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

Pandiaraja¹

2017

Indian J Nephrol

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Spontaneous splenic hematoma is one of the rare and life-threatening complications of chronic renal failure. The diagnosis of splenic hematoma is mostly made by imaging such as ultrasound or computed tomography. The management of spontaneous splenic hematoma is not standardized till now due to the rarity of this condition. Splenectomy is recommended in hemodynamically unstable patients with features of shock. This is a case report of spontaneous splenic hematoma in a patient with chronic renal failure. This case is reported due to the rarity with renal failure.

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“…[ 9 ] Splenectomy is the treatment of choice for spontaneous splenic rupture with hemoperitoneum, but several reports also advocate a trial of initial conservative management. [ 10 11 12 ] The therapeutic choice depends upon the hemodynamic status of the patient and cases not responding to conservative therapy must undergo splenectomy. We kept the patient on conservative management to which she responded with a good outcome.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous splenic rupture: A rare presentation of dengue fever

Mukhopadhyay¹,

Chatterjee²,

Maity³

et al. 2014

Indian Journal of Critical Care Medicine

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Spontaneous rupture of the spleen with hemoperitoneum is a very rare, but serious manifestation of dengue fever (DF). We report a case of a young female who was presented with atraumatic abdominal pain, hypovolemic shock, anemia, ascites and hepatosplenomegaly with a recent history of a febrile illness. Subsequent investigations proved the presence of hemoperitoneum with spontaneous splenic rupture with seropositivity for DF. Early diagnosis and conservative management in this case resulted in a favorable outcome.

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Successful Nonoperative Management of Spontaneous Splenic Hematoma and Hemoperitoneum due to CMV Infection

Cited by 4 publications

References 13 publications

Spontaneous Splenic Haematoma Presenting as Perforated Acute Appendicitis in Young Adult

Spontaneous Splenic Haematoma Presenting as Perforated Acute Appendicitis in Young Adult

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

Spontaneous splenic rupture: A rare presentation of dengue fever

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