Spontaneous splenic rupture during infection of cytomegalovirus. A case report
Splenic rupture is most commonly encountered after blunt abdominal trauma. Spontaneous atraumatic splenic rupture is a rare but dramatic occurrence that is most commonly attributed to infection or neoplasia. We report the case of a 27-year-old female patient without pathological history. Admitted to...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322001947 |
| _version_ | 1819010525454925824 |
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| author | Lamiaa Chahidi El Ouazzani, MD Abdelhamid Jadib, MD Harouna Siradji, MD Romaissa Boutachali, MD Houria Tabakh, MD Abdellatif Siwane, MD Najwa Touil, MD Omar Kacimi, MD Nabil Chikhaoui, MD |
| author_facet | Lamiaa Chahidi El Ouazzani, MD Abdelhamid Jadib, MD Harouna Siradji, MD Romaissa Boutachali, MD Houria Tabakh, MD Abdellatif Siwane, MD Najwa Touil, MD Omar Kacimi, MD Nabil Chikhaoui, MD |
| author_sort | Lamiaa Chahidi El Ouazzani, MD |
| collection | DOAJ |
| description | Splenic rupture is most commonly encountered after blunt abdominal trauma. Spontaneous atraumatic splenic rupture is a rare but dramatic occurrence that is most commonly attributed to infection or neoplasia. We report the case of a 27-year-old female patient without pathological history. Admitted to the emergency department for the sudden onset of left hypochondrial pain associated with vomiting, rapidly progressing to hypovolemic shock. She had reported an influenza-like illness a week earlier for which her COVID-19 PCR was negative. Emergency abdominal ultrasound and CT-scan revealed a ruptured spleen and widespread hemorrhagic fluid in the abdomen. Exploration revealed multiple ruptures in the spleen capsule. The patient underwent splenectomy with good clinical evolution. Despite the rarity of this condition, physicians should consider the diagnosis of spontaneous non traumatic splenic rupture when encountering healthy patients presenting with nonspecific left hypochondrial abdominal pain and hypovolemia. Mortality is essentially related to the delay in diagnosis and treatment and to the severity of the underlying pathology. Treatment often consists of splenectomy. |
| first_indexed | 2024-12-21T01:13:39Z |
| format | Article |
| id | doaj.art-a2ea6a01848b48dca18a9c1e8e1cbc5e |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-21T01:13:39Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-a2ea6a01848b48dca18a9c1e8e1cbc5e2022-12-21T19:20:52ZengElsevierRadiology Case Reports1930-04332022-05-0117517411744Spontaneous splenic rupture during infection of cytomegalovirus. A case reportLamiaa Chahidi El Ouazzani, MD0Abdelhamid Jadib, MD1Harouna Siradji, MD2Romaissa Boutachali, MD3Houria Tabakh, MD4Abdellatif Siwane, MD5Najwa Touil, MD6Omar Kacimi, MD7Nabil Chikhaoui, MD8Corresponding author.; Emergency Radiology Division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Morocco 1, quartiers des hôpitaux, Casablanca, Morocco, 20100Emergency Radiology Division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Morocco 1, quartiers des hôpitaux, Casablanca, Morocco, 20100Emergency Radiology Division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Morocco 1, quartiers des hôpitaux, Casablanca, Morocco, 20100Emergency Radiology Division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Morocco 1, quartiers des hôpitaux, Casablanca, Morocco, 20100Emergency Radiology Division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Morocco 1, quartiers des hôpitaux, Casablanca, Morocco, 20100Emergency Radiology Division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Morocco 1, quartiers des hôpitaux, Casablanca, Morocco, 20100Emergency Radiology Division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Morocco 1, quartiers des hôpitaux, Casablanca, Morocco, 20100Emergency Radiology Division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Morocco 1, quartiers des hôpitaux, Casablanca, Morocco, 20100Emergency Radiology Division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Morocco 1, quartiers des hôpitaux, Casablanca, Morocco, 20100Splenic rupture is most commonly encountered after blunt abdominal trauma. Spontaneous atraumatic splenic rupture is a rare but dramatic occurrence that is most commonly attributed to infection or neoplasia. We report the case of a 27-year-old female patient without pathological history. Admitted to the emergency department for the sudden onset of left hypochondrial pain associated with vomiting, rapidly progressing to hypovolemic shock. She had reported an influenza-like illness a week earlier for which her COVID-19 PCR was negative. Emergency abdominal ultrasound and CT-scan revealed a ruptured spleen and widespread hemorrhagic fluid in the abdomen. Exploration revealed multiple ruptures in the spleen capsule. The patient underwent splenectomy with good clinical evolution. Despite the rarity of this condition, physicians should consider the diagnosis of spontaneous non traumatic splenic rupture when encountering healthy patients presenting with nonspecific left hypochondrial abdominal pain and hypovolemia. Mortality is essentially related to the delay in diagnosis and treatment and to the severity of the underlying pathology. Treatment often consists of splenectomy.http://www.sciencedirect.com/science/article/pii/S1930043322001947CMVSpontaneous spleen ruptureImaging |
| spellingShingle | Lamiaa Chahidi El Ouazzani, MD Abdelhamid Jadib, MD Harouna Siradji, MD Romaissa Boutachali, MD Houria Tabakh, MD Abdellatif Siwane, MD Najwa Touil, MD Omar Kacimi, MD Nabil Chikhaoui, MD Spontaneous splenic rupture during infection of cytomegalovirus. A case report Radiology Case Reports CMV Spontaneous spleen rupture Imaging |
| title | Spontaneous splenic rupture during infection of cytomegalovirus. A case report |
| title_full | Spontaneous splenic rupture during infection of cytomegalovirus. A case report |
| title_fullStr | Spontaneous splenic rupture during infection of cytomegalovirus. A case report |
| title_full_unstemmed | Spontaneous splenic rupture during infection of cytomegalovirus. A case report |
| title_short | Spontaneous splenic rupture during infection of cytomegalovirus. A case report |
| title_sort | spontaneous splenic rupture during infection of cytomegalovirus a case report |
| topic | CMV Spontaneous spleen rupture Imaging |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322001947 |
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