Adolescent With Spontaneous Splenic Rupture as a Cause of

Pediatric emergency care · Dec 2020

Review Case Reports

Adolescent With Spontaneous Splenic Rupture as a Cause of Hemoperitoneum in the Emergency Department: Case Report and Literature Review.

Spontaneous rupture of the spleen is a rare clinical condition that usually presents as a complication of a background pathology and can become a life-threatening condition if it is not diagnosed in time. We present the case of a 15-year-old girl with abdominal pain and clinical data of hypovolemic shock. ⋯ The anatomopathological examination showed the presence of splenomegaly and findings suggestive of peliosis. It also highlights the known causes related to spontaneous splenic rupture.

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- José Juan Gómez-Ramos, Alejandro Marín-Medina, Javier Lisjuan-Bracamontes, Diana García-Ramírez, Heriberto Gust-Parra, and Maria Guadalupe Ascencio-Rodríguez.
- From the Department of Emergency Medicine, Hospital General de Zona No. 89.
- Pediatr Emerg Care. 2020 Dec 1; 36 (12): e737-e741.
AbstractSpontaneous rupture of the spleen is a rare clinical condition that usually presents as a complication of a background pathology and can become a life-threatening condition if it is not diagnosed in time. We present the case of a 15-year-old girl with abdominal pain and clinical data of hypovolemic shock. The simple tomographic study revealed deformation of the splenic architecture and hemoperitoneum. Surgery demonstrated splenic rupture with ptosis spleen and intraperitoneal free blood. The anatomopathological examination showed the presence of splenomegaly and findings suggestive of peliosis. It also highlights the known causes related to spontaneous splenic rupture.

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Adolescent With Spontaneous Splenic Rupture as a Cause of Hemoperitoneum in the Emergency Department: Case Report and Literature Review.

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