Spontaneous splenic rupture post-gynecological surgery – Case report

Abstract

Abstract Introduction Splenic rupture is a rare postoperative complication in gynecological practice. In the literature, there are only isolated reported cases of ruptured spleen after gynecological procedures. Splenic rupture has been reported following hysterectomy, cesarean section, laparoscopy, and ruptured ectopic pregnancy. Aim Presentation of splenic rupture as a complication of gynecological surgery. Case study A case of 68-year-old patient operated for giant ovarian tumor with spontaneous splenic rupture following total abdominal hysterectomy with bilateral salpingo-oophorectomy is described. Internal hemorrhage was a main clinical presentation. Diagnosis was made intraoperatively. Splenectomy was performed in cooperation with a surgical oncologist. Results and discussion Diagnosis of splenic rupture as a postoperative complication after gynecological surgery is frequently established intraoperatively due to the suddenness of symptoms of shock and the need for immediate surgical intervention. Conclusions Possibility of complications such as splenic rupture in the postoperative period needs to be taken into account by gynecologists in the case of postoperative intra-abdominal hemorrhage. Cooperation between gynecologist and general surgeon is advisable for management of splenic rupture.