Traumatic spleen rupture diagnosed during postmortem dissection

Fomin, Dmitrij; Chmieliauskas, Sigitas; Petrauskas, Vidas; Šumkovskaja, Alina; Ginčienė, Karolina; Laima, Sigitas; Jurolaic, Eleonora; Stasiuniene, Jurgita

doi:10.1097/md.0000000000017363

Cited by 10 publications

(10 citation statements)

References 19 publications

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“…The reason for the male dominance may be because males tend to behave more impulsively and are exposed to more risk. The median age of our patients is similar to the reports of other studies but is at variance to the report of others (13,17,18). The average ages of children who sustain splenic injury vary from place to place and may depend on the mechanism of the splenic injury.…”

Section: Discussionsupporting

confidence: 92%

Pattern and Outcome of Splenic Injury in Children

Emeka¹

2021

Ann Afr Surg.

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Background: The spleen is the most frequently injured organ in abdominal trauma. The aim of this study was to evaluate the pattern and management outcome of splenic injury in children in a tertiary hospital. Methods: This was a retrospective study of children treated for splenic trauma at the Pediatric Surgery Unit of Enugu State University Teaching Hospital (ESUTH) Enugu, Nigeria. The medical records of the patients over a 10-year period were evaluated. Results: There were 61 cases of splenic trauma of which 72.1% were male. Their ages ranged from 4 to 14 years with a median of 10 years. Road traffic accident and fracture were the most common mechanism of injury and associated injury respectively. The majority had grade III splenic injury and nonoperative management was the predominant modality of treatment. Operative procedures included splenectomy and splenorrhaphy. Mortality occurred in two (3.3%) patients. Conclusions: Splenic injury can be associated with significant morbidity and mortality. Road traffic accidents are a common cause of splenic injury and nonoperative management is an effective modality of treatment.

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Section: Discussionsupporting

confidence: 92%

Pattern and Outcome of Splenic Injury in Children

Emeka¹

2021

Ann Afr Surg.

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“…In diseases condition spleen enlarges at different rates in its dimensions and most easily vulnerable organs (8)(9)(10). A variety of diseases condition alters spleen dimensions, where splenomegaly and its consequence becomes a primary clinical concern in any part of the world (11,12).…”

Section: Introductionmentioning

confidence: 99%

Morphometric Assessment of Spleen Dimensions and Its Correlates Among Individual Living in Arba Minch Town, Southern Ethiopia

Demissie

Prasad

Fikadu

et al. 2021

Preprint

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Introduction: The spleen is a vital lymphoid soft organ that demands constant attention from the clinical point of view. It is multi-dimensional organs that enlarge in all dimensions in disease conditions. The detection of the spleen by palpation on physical examination is not an approval of an enlarged spleen because an unenlarged spleen may palpable. Therefore, this study aimed to assess the Morphometry of spleen dimensions and its correlates among individuals living in Arba Minch Town by sonographic examinations.Methods and Materials: Community-based cross-sectional study was conducted in Arba Minch town from February 1 to March 30, 2020. A multi-stage systematic and simple random sampling technique was applied to select study participants. Data was entered into Epi-Data version 3.1software and exported to SPSS version 20 software for analysis.Result: A total of 708 individuals, 390 (55.1%) males and 318 (44.9 %) females were included in the current study. The mean splenic length, width, thickness and volume were 10.24 cm, 4.79 cm, 3.93 cm, and 109.34 cm³, respectively. The mean spleen length, width, thickness and volumes among males were 10.64 cm, 4.92 cm, 4.05 cm and 119.81 cm³ and among females were 9.75 cm, 4.63 cm, 3.78 cm and 96.50 cm³ respectively. Significant negative correlations were found between age and spleen dimensions. Significant positive correlations were observed between spleen dimensions and height, weight, Body Mass Index, and Body Surface area. But, the correlation between width and body mass index was non-significant (p-value > 0.05).Conclusion and Recommendations: The spleen dimensions were higher in males than females and have a significant positive correlation with height, weight, Body Mass Index and Body Surface Area except for the width. Further studies in different parts of the country have to be done to have normative data on the dimension of Spleen in Ethiopia.

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“…A subcapsular hematoma occurs, which enlarges for hours or days. As it augments in size, it exerts pressure to the capsule which eventually breaks [3]. Our patient suffered from an enlarged spleen due to malignant tissue involvement.…”

Section: Discussionmentioning

confidence: 83%

“…Splenic artery is the largest branch of truncus coeliacus. The soft consistence and the fibroelastic capsule render the spleen fragile when exposed to augmented intra-abdominal pressure as it occurs during a blunt trauma [2,3].…”

Section: Discussionmentioning

confidence: 99%