Acute splenic rupture following laparoscopic pneumoperitoneum: A case report
Introduction: Splenic rupture after laparoscopic surgery is a very rare complication. In this study, we report a case of a splenic laceration that occurred during a laparoscopic gastrostomy tube placement. The theorized mechanism in this case was acute disruption of a peri-splenic hematoma. Case rep...
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| Format: | Article |
| Language: | English |
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Elsevier
2019-08-01
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| Series: | Trauma Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644019300457 |
| _version_ | 1818332951070375936 |
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| author | Jean-Luc Delafontaine Rebecca Moreci Navdeep S. Samra |
| author_facet | Jean-Luc Delafontaine Rebecca Moreci Navdeep S. Samra |
| author_sort | Jean-Luc Delafontaine |
| collection | DOAJ |
| description | Introduction: Splenic rupture after laparoscopic surgery is a very rare complication. In this study, we report a case of a splenic laceration that occurred during a laparoscopic gastrostomy tube placement. The theorized mechanism in this case was acute disruption of a peri-splenic hematoma. Case report: A 64-year-old African-American male presented after a motor vehicle accident with multiple injuries and was admitted to a surgical intensive care unit, where he declined from ICU days 6 through 11. The patient underwent tracheostomy and laparoscopic gastrostomy tube placement given his significant neurologic deficits. Intraoperatively, the patient developed hypotension, leading to the discovery of hemoperitoneum and necessitating an emergent open splenectomy. Conclusion: Splenic rupture following laparoscopic procedures is a very rare phenomenon. In this case, we believe the splenic rupture was secondary to an acute disruption of a previously hemostatic splenic hematoma involving the abdominal wall during creation of capnoperitoneum. Keywords: Laparoscopic, Trauma, Adhesions, Splenic, Rupture |
| first_indexed | 2024-12-13T13:43:54Z |
| format | Article |
| id | doaj.art-a06c29ed6c0149c29fe2d45deff8b085 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-13T13:43:54Z |
| publishDate | 2019-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-a06c29ed6c0149c29fe2d45deff8b0852022-12-21T23:43:30ZengElsevierTrauma Case Reports2352-64402019-08-0122Acute splenic rupture following laparoscopic pneumoperitoneum: A case reportJean-Luc Delafontaine0Rebecca Moreci1Navdeep S. Samra2Department of Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, USALouisiana State University School of Medicine, Shreveport, LA, USA; Corresponding author at: LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA.Department of Trauma, Acute Care Surgery, and Surgical Critical Care, Louisiana State University Health Sciences Center, Shreveport, LA, USAIntroduction: Splenic rupture after laparoscopic surgery is a very rare complication. In this study, we report a case of a splenic laceration that occurred during a laparoscopic gastrostomy tube placement. The theorized mechanism in this case was acute disruption of a peri-splenic hematoma. Case report: A 64-year-old African-American male presented after a motor vehicle accident with multiple injuries and was admitted to a surgical intensive care unit, where he declined from ICU days 6 through 11. The patient underwent tracheostomy and laparoscopic gastrostomy tube placement given his significant neurologic deficits. Intraoperatively, the patient developed hypotension, leading to the discovery of hemoperitoneum and necessitating an emergent open splenectomy. Conclusion: Splenic rupture following laparoscopic procedures is a very rare phenomenon. In this case, we believe the splenic rupture was secondary to an acute disruption of a previously hemostatic splenic hematoma involving the abdominal wall during creation of capnoperitoneum. Keywords: Laparoscopic, Trauma, Adhesions, Splenic, Rupturehttp://www.sciencedirect.com/science/article/pii/S2352644019300457 |
| spellingShingle | Jean-Luc Delafontaine Rebecca Moreci Navdeep S. Samra Acute splenic rupture following laparoscopic pneumoperitoneum: A case report Trauma Case Reports |
| title | Acute splenic rupture following laparoscopic pneumoperitoneum: A case report |
| title_full | Acute splenic rupture following laparoscopic pneumoperitoneum: A case report |
| title_fullStr | Acute splenic rupture following laparoscopic pneumoperitoneum: A case report |
| title_full_unstemmed | Acute splenic rupture following laparoscopic pneumoperitoneum: A case report |
| title_short | Acute splenic rupture following laparoscopic pneumoperitoneum: A case report |
| title_sort | acute splenic rupture following laparoscopic pneumoperitoneum a case report |
| url | http://www.sciencedirect.com/science/article/pii/S2352644019300457 |
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