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2019, Number 2

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Cir Cir 2019; 87 (2)

Atraumatic splenic rupture secondary to appendicular perforation by cecal volvulus

Menéndez-Moreno A, Burneo-Esteves M, Orti-Rodríguez R, Feria-González A, Pérez-Álvarez A, Barrera-Gómez M
Full text How to cite this article

Language: Spanish
References: 5
Page: 211-214
PDF size: 368.13 Kb.


Key words:

Abdomen, Spleen, Spontaneous rupture, Intestinal volvulus, Appendicitis.

ABSTRACT

Atraumatic splenic rupture, an infrequent surgical emergency, constitutes a life-threatening situation. The lack of a traumatic background makes it difficult to suspect. We present a case of a 45-year-old woman, with history of bariatric surgery, referred to our emergency due to 3 weeks long abdominal and lumbar pain, in shock. Imaging diagnosis of splenic rupture, emergent surgery was performed with atypical findings and good evolution. The bibliographic review, background and surgical findings allowed to postulate causality in this unusual presentation. Despite its low frequency, this pathology involves significant mortality and must be present in the patient in shock in the emergency room.


REFERENCES

  1. Tonolini M, Ierardi AM, Carrafiello G. Atraumatic splenic rupture, an underrated cause of acute abdomen. Insights Imaging. 2016;7:641-6.

  2. Patel R, Pai A, Al-Shoek I, Evans C, Gordon A. Splenic abscess rupture post appendicectomy. BMJ Case Rep. 2012. pii: bcr0120125705.

  3. Rodríguez-Hermosa JI, Martín A, Farrés R, Pont J, Codina-Cazador A, Ruiz B, et al. Obstrucción intestinal por vólvulo de ciego. Cirugía Española. 2005;78:385-7.

  4. Sujka J, Teixeira AF, Jawad MA. Suspected cecal volvulus as a reason for abdominal pain after gastric bypass: a case series. Surg Obes Relat Dis. 2015;11:978-9.

  5. Kocael PC, Simsek O, Bilgin IA, Tutar O, Saribeyoglu K, Pekmezci S, et al. Characteristics of patients with spontaneous splenic rupture. Int Surg. 2014;99:714-8.




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Cir Cir. 2019;87