Delayed splenic rupture in massive splenomegaly - a case report

Srđan S. Putnik, M. Ilic
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Abstract

Introduction. We present a patient with a delayed rupture of the spleen following a mild abdominal trauma. For years, the patient was treated for hereditary massive splenomegaly with thrombocytopenia, without established etiology. Case Report . The initial non-operative treatment lasted seven days, after which the patient was readmitted to the Emergency Department with signs of intra-abdominal hemorrhage and underwent emergency open splenectomy. Even after pathohistological examination, the etiology of massive splenomegaly remained unknown. Conclusion. Conservative treatment is not recommended in cases of massive splenomegaly; thorough surgical observation in a tertiary care hospital with interventional radiology and a good multidisciplinary team is necessary, while splenectomy is a surgery of choice.
脾肿大致迟发性脾破裂1例
介绍。我们提出了一个病人延迟脾破裂后,轻度腹部创伤。多年来,患者治疗遗传性脾肿大伴血小板减少症,没有明确的病因。病例报告。最初的非手术治疗持续了7天,之后患者因腹腔内出血的迹象再次被送至急诊科,并进行了紧急开腹脾切除术。即使经过病理组织学检查,脾肿大的病因仍不清楚。结论。脾肿大不建议保守治疗;在三级医院进行充分的手术观察,有介入放射学和良好的多学科团队,脾切除术是一种选择。
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