SPONTANEOUS RUPTURE OF THE SPLEEN IN A HEMODIALYSIS PATIENT
Mustafa Aldemir 1 * , Ali Süner 2, Veysel Kıdır 2, Ozan Balakan 2, Tahir Çelenk 2
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1 Dicle University, Faculty of Medicine, Department of General Surgery, Diyarbakır, Turkey
2 Dicle University, Faculty of Medicine, Department of General Internal medicine, Diyarbakır, Turkey
* Corresponding Author

Abstract

Hypovolemic shock and spontaneous splenic rupture (SSR) are unusual fatal complications in the uraemic patients. We described a case of SSR in a 29-year-old hemodialysis (HD) patient. The diagnosis was confirmed with the acute abdomen picture included the left upper abdominal and left shoulder pain together with shock and ultrasound findings. The splenectomy was performed. The postoperative course was uneventful and the patient was discharged from hospital on the 5th day. The mechanism of the rupture is still unknown, but the rupture and subcapsular haematomas of spleen may be induced by the uraemic coagulopathy, the use of anticoagulants during HD, malignant hypertension and unrecognised microtrauma. Splenic rupture should be considered in any patient with abdominal pain and shock, regardless of a history of trauma or previously known risk factors for spontaneous rupture. An aggressive multidisciplinary approach to the management of these patients may decrease the mortality rate.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

https://doi.org/10.29333/ejgm/82210

EUR J GEN MED, 2004 - Volume 1 Issue 3, pp. 51-54

Publication date: 15 Jul 2004

Article Views: 731

Article Downloads: 520

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