Spontaneous Splenic Rupture following Colorectal Surgery and Hemodialysis

Atraumatic splenic rupture is rarely encountered in clinical practice compared to traumatic rupture. General risk factors include hematological, infectious, or malignant splenic diseases, uremic coagulopathy, use of heparin, hypertension, and immune-compromised status. Spontaneous splenic rupture fo...

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Bibliographic Details
Published in:Case reports in surgery 2019, Vol.2019 (2019), p.1-3
Main Authors: Sabr, Khalid, Balhareth, Ameera, Privitera, Antonio, AlMuhsin, Ahmed Mohammed
Format: Article
Language:English
Subjects:
Abdomen
Anticoagulants (Medicine)
Blood platelets
Calcification
Case Report
Case reports
Colorectal surgery
Computed tomography
Dialysis
Emergency medical care
Etiology
Family medical history
Health risks
Hematology
Hemodialysis
Heparin
Hypertension
Laparoscopy
Medical imaging
Metastasis
Mortality
Pain
Patients
Pneumonia
Risk analysis
Risk factors
Rupture
Rupturing
Spleen
Surgery
Systematic review
Thrombosis
Trauma
Type 2 diabetes
Ultrasonic imaging
Ultrasound
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Description
Summary:Atraumatic splenic rupture is rarely encountered in clinical practice compared to traumatic rupture. General risk factors include hematological, infectious, or malignant splenic diseases, uremic coagulopathy, use of heparin, hypertension, and immune-compromised status. Spontaneous splenic rupture following colorectal surgery has never been reported. Maintaining a high index of suspicion in patients presenting with left upper quadrant pain and tenderness is crucial. Diagnosis can be made with the aid of an ultrasound or CT scan. The management plan should be tailored to the patient’s clinical conditions. The authors present a case of spontaneous splenic rupture in a patient following colectomy for cancer and undergoing postoperative hemodialysis and discuss the possible etiological factors.
ISSN:2090-6900
2090-6919
DOI:10.1155/2019/8278419