Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-28T20:52:32.680Z Has data issue: false hasContentIssue false
  • English
  • Français

Delayed diagnosis of splenic rupture following minor trauma: Beware of comorbid conditions

Published online by Cambridge University Press:  21 May 2015

Mohamed Ali Peera  and
Eddy S. Lang
Mohamed Ali Peera
Affiliation:
McGill University, Montréal, Que
Eddy S. Lang*
Affiliation:
SMBD–Jewish General Hospital, McGill University, Montréal, Que
*
Emergency Department, SMBD Jewish General Hospital, McGill University, 3755 Côte St. Catherine Rd., Montréal QC H3T 1E2; 514 340-8222, fax 514 340-7510, [email protected]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Although rare, spontaneous splenic rupture has been reported in cases of chronic lymphocytic leukemia (CLL). In contrast, there are no published reports of splenic injury resulting from minor trauma in CLL patients. We report the case of an 81-year-old woman with a history of CLL, who presented with minor trauma to her coccygeal region, and was found to have a splenic rupture. We briefly describe the incidence, pathogenesis, presentation, diagnosis, management and prognosis of splenic injury, especially in cases with a history of splenomegaly.

Keywords

splenic rupturechronic lymphocytic leukemia
Type
Case Report • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 6 , Issue 3 , May 2004 , pp. 217 - 219
Copyright
Copyright © Canadian Association of Emergency Physicians 2004

References

1.Gorg, C, Colle, J, Gorg, K, Prinz, H, Zugmaier, G.Spontaneous rupture of the spleen: ultrasound patterns, diagnosis and followup. Br J Radiol 2003;76:704–11.CrossRefGoogle ScholarPubMed
2.Blaivas, M, Quinn, J.Diagnosis of spontaneous splenic rupture with emergent ultrasonography. Ann Emerg Med 1998;32(5) 627–30.CrossRefGoogle ScholarPubMed
3.Debnath, D, Valerio, D.atraumatic rupture of the spleen in adults. J R Coll Surg Edinb 2002;47:437–45.Google ScholarPubMed
4.Yagmur, Y, Kara, IH, Aldemir, M, Büyükbayram, H, Tacyildiz, IH, Keles, C.Spontaneous rupture of malarial spleen: two case reports and review of literature. Crit Care 2000;4:309–13.Google Scholar
5.Stites, TB, Ultmann, JE.Spontaneous rupture of the spleen in chronic lymphocytic leukemia. Cancer 1966;19:1587–90.3.0.CO;2-M>CrossRefGoogle ScholarPubMed
6.Bauer, TW, Haskins, GE, Armitage, JO.Splenic rupture in patients with hematologic malignancies. Cancer 1981;48:2729–33.3.0.CO;2-K>CrossRefGoogle ScholarPubMed
7.del Agua, C, Real, E, Cunat, A, Pastor, E, Grau, E.Subcapsular splenic rupture in a patient with chronic lymphocytic leukemia. Haematologica 2002;87(04):EIM12.Google Scholar
8.Grover, SA, Barkun, AN, Sackett, DL.Does this patient have splenomegaly? JAMA 1993;270(18):2218–21.CrossRefGoogle ScholarPubMed