Splenic Rupture Manifesting Two Years after Diagnosis of Injury

Precocious Diagnosis of Traumatic Splenic Rupture by Selective Coeliac Angiography

Splenic arteriography allows the organ to be clearly demonstrated and the condition of the parenchyrna to be assessed. The methode allows traumatic lesions to be easily diagnosed. The most common reliable signs are escape of contrast medium from the torn spenic arteries and lacunar appearance in the parenchyma. Other signs, such as early venous filling or antero-posterior and median displacemen...

Splenic Rupture After Colonoscopy

Colonoscopy is a familiar and well-tolerated procedure and is widely used as a diagnostic and therapeutic modality by both gastroenterologists and surgeons. Although perforation and hemorrhage are the most common complications, splenic injury or rupture is a rare but potentially lethal complication. We report a case of splenic rupture diagnosed 18 hours after colonoscopy, which required emergen...

A Clinical Diagnosis Made Bench Side after Two Years

Splenic peliosis with spontaneous splenic rupture: report of two cases

BACKGROUND Peliosis is a rare condition characterised by multiple cyst-like, blood-filled cavities within the parenchyma of solid organs. Most commonly affecting the liver, isolated splenic peliosis is an even more unique phenomenon. Patients with the condition are often asymptomatic. However, this potentially lethal condition can present with spontaneous organ rupture. We present two such case...

Occult splenic injury: delayed presentation manifesting as jaundice.

Delayed splenic rupture, though uncommon, is a recognised clinical condition and is associated with a significant mortality rate. In the vast majority of cases the patient re-presents with abdominal symptoms and/or signs of acute intraperitoneal haemorrhage. A case is presented of delayed splenic rupture presenting with jaundice attributable to intra-abdominal clot lysis.