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...

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.

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...

PATIENT Male, 29 FINAL DIAGNOSIS: Spontaneous spleen rupture Symptoms: Abdominal distension • abdominal pain • abdominal tenderness • disorientation • fever • hemothorax • hip pain • reduced urine output MEDICATION - Clinical Procedure: Splenectomy Specialty: Infectious Diseases. OBJECTIVE Rare diseases. BACKGROUND Spontaneous rupture of a malarial spleen is uncommon even in the endemic r...

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...

Splenic rupture is a rare but serious complication after colonoscopy, with high global mortality (5%). Diagnosis requires a high index of suspicion because presentation can be subtle, nonspecific, and delayed from hours to days and then not easily attributed to a recent endoscopy. Urgent splenectomy is the most common treatment option. A 73-year-old woman was admitted to the emergency departmen...

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 ...