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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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| Published in: | The American journal of emergency medicine 2016-08, Vol.34 (8), p.1731.e1-1731.e3 |
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| Main Authors: | , , , , |
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| cites | cdi_FETCH-LOGICAL-c509t-dbe6381eb0de0a125209a936dbb2c37b5846472591de7ce99b5698a3142ea8333 |
| container_end_page | 1731.e3 |
| container_issue | 8 |
| container_start_page | 1731.e1 |
| container_title | The American journal of emergency medicine |
| container_volume | 34 |
| creator | Aydin, A. Attila, MD Şenocak, Rahman, MD Bilge, Sedat, MD Kaymak, Şahin, MD Kilbaş, Zafer, MD |
| description | 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. |
| doi_str_mv | 10.1016/j.ajem.2015.12.044 |
| format | article |
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| ispartof | The American journal of emergency medicine, 2016-08, Vol.34 (8), p.1731.e1-1731.e3 |
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| 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 |
| title | Nontraumatic splenic rupture as the initial manifestation of acute myeloid leukemia in emergency department |
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