ISSN 2490-3329 (Print)
ISSN 2303-7954 (Online)

Volume 49, Issue 1, Article 11

(Scr Med 2018:49:65-68)
CASE STUDY

Surgical Treatment of Spontaneous Spleen Rupture in Patients with Splenomegalia

Jugoslav Đeri1, Milan Simatović1, Miroslav Regoda1, Vojo Vujanović2, Igor Stakić1, Duško Topić1

1 Clinic of General and Abdominal Surgery, University Clinical Center of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina
2 Clinic of Anesthesia and Reanimation, University Clinical Center of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina

 

doi: 10.18575/msrs.sm.e.18.11
UDC: 616.36-004-06
COBISS.RS-ID: 7318808

 


ABSTRACT

Spontaneous spleen rupture rarely occurs, and is primarily present in patients with splenomegaly. This is a life-threatening condition that, without adequate surgical treatment, always ends lethally. The very etiology of spontaneous atriumatic spleen rupture is not known, but it can often be associated with neoplastic diseases, liver cirrhosis, and some infectious diseases. Diagnosis is made by non-invasive methods (findings of red blood cell elements, ultrasonography, computerized tomography of abdominal CT, magnetic resonance NMR). The therapy consists of laparotomy, evacuation of the haemorrhagic content and removal of the spleen. Surgical treatment is successful, and as a postoperative complication, bleeding may occur as a result of inadequate care of the laryngeal artery and vein, and short gastric blood vessels. Here we presented a 58- year- old male patient who, due to a marked abdominal pain, low blood pressure, and low blood cell counts, was taken to hospital and successfully surgically treated at the Clinic for General and Abdominal Surgery.

Key words: splenomegaly, spleen rupture, haemorrhagic shock, splenectomy.


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Contact address:
Jugoslav Đeri
Street address: Nikole Pašića 36
78000 Banja Luka
Republic of Srpska
Bosnia and Herzegovina
e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
phone number: +387-65-601-777

Submitted: March 15th, 2018
Accepted: March 25th, 2018