Unexpected finding of splenic peliosis in a traumatic spleen in a patient with cleidocranial dysplasia

We present a case of traumatic rupture of the spleen in a man with cleidocranial dysplasia. The computed tomography imaging showed multiple low-grade lacerations of the spleen which initially led to conservative patient management. However, with clinical deterioration, the patient underwent an emerg...

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Bibliographic Details
Published in:SA journal of radiology 2018, Vol.22 (1), p.1-3
Main Authors: Samson, Paul, Mohandas, Prema, Krim, Ahmed O.A.
Format: Article
Language:English
Subjects:
Case Report
cleidocranoal dysplasia
Computed tomography
Craniofacial syndromes
Cysts
Dysplasia
Fractures
Health Care Sciences & Services
Medical imaging
Medicine, General & Internal
Mortality
Pathology
Patients
Peliosis
pelisses
Purpura
Radiology
Radiology, Nuclear Medicine & Medical Imaging
Spleen
Splenectomy
Trauma
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Description
Summary:We present a case of traumatic rupture of the spleen in a man with cleidocranial dysplasia. The computed tomography imaging showed multiple low-grade lacerations of the spleen which initially led to conservative patient management. However, with clinical deterioration, the patient underwent an emergent splenectomy. Post-operative histology revealed splenic peliosis with multiple lacerations. The radiological and surgical management of post-traumatic splenic peliosis may differ from those with an otherwise normal spleen.
ISSN:1027-202X
2078-6778
2078-6778
DOI:10.4102/sajr.v22i1.1371