Nontraumatic splenic rupture as the initial manifestation of acute myeloid leukemia in emergency department

An Extended Focused Assessment with Sonography for Trauma (E-FAST) examination conducted to detect the etiology of hypotension revealed diffuse free fluid and splenomegaly (with a long axis of 154mm) in the abdomen. Because the patient was thought to be in hemorrhagic shock, fluid replacement was ad...

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Bibliographic Details
Published in:The American journal of emergency medicine 2016-08, Vol.34 (8), p.1731.e1-1731.e3
Main Authors: Aydin, A. Attila, MD, Şenocak, Rahman, MD, Bilge, Sedat, MD, Kaymak, Şahin, MD, Kilbaş, Zafer, MD
Format: Article
Language:English
Subjects:
Abdomen
Blood
Emergency
Emergency medical care
Emergency Service, Hospital
Fatal Outcome
Health risks
Hematology
Humans
Infections
Intensive care
Leukemia
Leukemia, Myeloid, Acute - complications
Leukemia, Myeloid, Acute - diagnosis
Male
Medical imaging
Metabolic disorders
Middle Aged
Mortality
Pain
Rupture, Spontaneous
Spleen
Splenic Rupture - diagnostic imaging
Splenic Rupture - etiology
Tomography, X-Ray Computed
Ultrasonic imaging
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Summary:An Extended Focused Assessment with Sonography for Trauma (E-FAST) examination conducted to detect the etiology of hypotension revealed diffuse free fluid and splenomegaly (with a long axis of 154mm) in the abdomen. Because the patient was thought to be in hemorrhagic shock, fluid replacement was administered, and the transfusion of blood products was commenced. Because of the risk of infection following splenectomy, the tendency to select nonoperative treatment is popular in hemodynamically stable patients [7]; however, splenectomy is the main treatment option for adults with leukemia and with pathological splenic rupture.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2015.12.044