A 26-year-old male presented with fever for five days and abdominal pain for 24 hours. System examination identified a soft abdomen with diffuse tenderness. CT-abdomen findings were consistent with splenic rupture with intra and peri-splenic hematoma. Laboratory investigations showed a platelet count of 40,000 per mm(3). In due course he developed hypotension and underwent splenectomy. Non-stru...

We present a case of spontaneous splenic rupture in a man with splenic vein thrombosis. The splenic vein thrombosis appears to have been caused by protein S deficiency. We are not aware of this having been described before.

A 76 year old woman presented acutely with non-traumatic splenic rupture, which was successfully treated by emergency splenectomy. Histological examination of the spleen revealed the coexistence of metastatic adenocarcinoma cells, together with low grade B cell non-Hodgkin lymphoma. Splenic rupture as a consequence of malignant disease is discussed, together with a brief review of the literature.

It is difficult to understand what relevance biomagnetic methods for the study of heart conduction have to the study of atherosclerosis and this applies to a number of other chapters. Indeed many of them describe methods such as thallium scintigraphy which may be capable of detecting the consequences of atherosclerotic disease but generally do so only when the disease is already extremely advan...

1. Hyun BH, Varga CF, Rubin RJ. Spontaneous and pathologic rupture of the spleen. Arch Surg 1972; 104: 652–657 2. Nicoll JA. Splenic haematoma after spontaneous rupture of the spleen. Am J Surg 1968; 116: 117–119 3. Debnath D, Valerio D. Atraumatic rupture of the spleen in adults. J R Coll Surg Edinb 2002; 47: 437–445 4. Zbrog Z, Pawlicki L. Spontaneous rupture of the spleen as a cause of death...

Background. Primary splenic angiosarcoma is a very rare mesenchymal malignant tumor associated with a poor prognosis due to its high metastatic potential. This disease can be easily neglected and spontaneous splenic rupture is a frequent manifestation at the time of diagnosis leading to a poor outcome because of peritoneal dissemination. Case Presentation. We describe the case of a 49-year-old ...

Atraumatic rupture of a normal spleen represents a rare clinical phenomenon. We report on an atypical presentation of a spontaneous splenic rupture in a 44-year-old previously healthy Greek male admitted to the emergency department due to left-sided pleuritic thoracic pain in the course of a pneumonia diagnosed 2 days before. During his stay, pain extended to the epigastric region. Abdominal ex...

Splenic complications are rare in cases of acute or chronic pancreatitis. Splenic complications associated with acute and chronic pancreatitis include splenic vein thrombosis, arterial pseudoaneurysms, splenic hematoma and splenic rupture. Splenic hematoma is a rare complication of acute or chronic pancreatitis when compared with traumatic origin of subcapsular hematoma. Local factors such as t...