Spontaneous rupture of normal spleen: A diagnostic dilemma

Spontaneous rupture of normal spleen poses a diagnostic dilemma for the treating clinician. Bacterial, viral, or parasitic infection, and malignancy of the spleen are predisposing factors for atraumatic spontaneous rupture. Severe and sudden pain in the left upper abdomen with radiation to the left...

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Main Authors: Sunder Goyal, Mohm Mojeeb Ahsan, Snigdha Goyal
Format: Article
Language:English
Published: GESDAV 2015-02-01
Series:Archives of Clinical and Experimental Surgery
Subjects:
Online Access:http://www.scopemed.org/fulltextpdf.php?mno=26910
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author Sunder Goyal
Mohm Mojeeb Ahsan
Snigdha Goyal
author_facet Sunder Goyal
Mohm Mojeeb Ahsan
Snigdha Goyal
author_sort Sunder Goyal
collection DOAJ
description Spontaneous rupture of normal spleen poses a diagnostic dilemma for the treating clinician. Bacterial, viral, or parasitic infection, and malignancy of the spleen are predisposing factors for atraumatic spontaneous rupture. Severe and sudden pain in the left upper abdomen with radiation to the left shoulder is the most common presenting symptom. Ultrasonography (USG) and computed tomography (CT) are important diagnostic imaging modalities. Here we present the case of a 60-year-old female who presented with severe upper left abdominal pain just after a heavy meal. Emergency USG diagnosed the patient as a case of ruptured spleen and it was further confirmed with contrast enhanced computed tomography (CECT) and paracentesis of perisplenic collection. The patient was managed conservatively with success. [Arch Clin Exp Surg 2015; 4(1.000): 60-63]
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spelling doaj.art-5e4e422f45ac44bb9b5a3f6e99ae92992023-02-15T16:16:04ZengGESDAVArchives of Clinical and Experimental Surgery2146-81332015-02-0141606310.5455/aces.2012122301231126910Spontaneous rupture of normal spleen: A diagnostic dilemmaSunder Goyal0Mohm Mojeeb Ahsan1Snigdha Goyal2Muzaffarnagar Medical College, Muzaffarnagar,UP,India Muzaffarnagar Medical College, Muzaffarnagar,UP,India Dr RML postgraduate Institute of Medical Sciences, New Delhi, IndiaSpontaneous rupture of normal spleen poses a diagnostic dilemma for the treating clinician. Bacterial, viral, or parasitic infection, and malignancy of the spleen are predisposing factors for atraumatic spontaneous rupture. Severe and sudden pain in the left upper abdomen with radiation to the left shoulder is the most common presenting symptom. Ultrasonography (USG) and computed tomography (CT) are important diagnostic imaging modalities. Here we present the case of a 60-year-old female who presented with severe upper left abdominal pain just after a heavy meal. Emergency USG diagnosed the patient as a case of ruptured spleen and it was further confirmed with contrast enhanced computed tomography (CECT) and paracentesis of perisplenic collection. The patient was managed conservatively with success. [Arch Clin Exp Surg 2015; 4(1.000): 60-63]http://www.scopemed.org/fulltextpdf.php?mno=26910Spontaneous rupturespleeninfectionmalignancy
spellingShingle Sunder Goyal
Mohm Mojeeb Ahsan
Snigdha Goyal
Spontaneous rupture of normal spleen: A diagnostic dilemma
Archives of Clinical and Experimental Surgery
Spontaneous rupture
spleen
infection
malignancy
title Spontaneous rupture of normal spleen: A diagnostic dilemma
title_full Spontaneous rupture of normal spleen: A diagnostic dilemma
title_fullStr Spontaneous rupture of normal spleen: A diagnostic dilemma
title_full_unstemmed Spontaneous rupture of normal spleen: A diagnostic dilemma
title_short Spontaneous rupture of normal spleen: A diagnostic dilemma
title_sort spontaneous rupture of normal spleen a diagnostic dilemma
topic Spontaneous rupture
spleen
infection
malignancy
url http://www.scopemed.org/fulltextpdf.php?mno=26910
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