Spontaneous Rupture Of Normal Spleen Research Articles

Spontaneous rupture of normal spleen: A diagnostic dilemma

Spontaneous rupture of normal spleen poses a diagnostic dilemma for the treating clinician. Bacterial, viral, or parasitic infection, and malignancy of the spleen are predisposing factors for atraumatic spontaneous rupture. Severe and sudden pain in the left upper abdomen with radiation to the left shoulder is the most common presenting symptom. Ultrasonography (USG) and computed tomography (CT) are important diagnostic imaging modalities. Here we present the case of a 60-year-old female who presented with severe upper left abdominal pain just after a heavy meal. Emergency USG diagnosed the patient as a case of ruptured spleen and it was further confirmed with contrast enhanced computed tomography (CECT) and paracentesis of perisplenic collection. The patient was managed conservatively with success.

Spontaneous rupture of the spleen: A case report and review of the literature

Spontaneous rupture of the normal spleen is a rare clinical entity in the absence of trauma; the diagnosis and treatment of this fatal complication are often delayed. Regardless of the mechanism, patients typically present with upper abdominal pain, classically referred to the left shoulder, with evidence of hemoperitoneum and moderate to severe shock. Here we are presenting a rare case of spontaneous rupture of normal spleen in a young female.

SPONTANEOUS RUPTURE OF NORMAL SPLEEN: AN ENIGMA RECALLED

SUMMARYThat a normal spleen can rupture spontaneously has long been a point of debate. A definitive case is reported here in an attempt to resolve the issue in its favour. Spleen involved in tropical diseases like malaria, infectious mononucleosis and typhoid fever is prone to rupture spontaneously as well as in cases follow minor trauma.1 In contrast, normal spleen ruptures almost always following severe trauma, such as road accidents or fall from significant heights. Though cases of spontaneous rupture of normal spleens have appeared off and on in the past, doubt has always surrounded the very existence of such an entity. We are reporting a definitive case of spontaneous rupture of normal spleen. This is only the second case of its kind since 1958 and the first ever from the Indian subcontinent.