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2014 ; 99
(6
): 714-8
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Characteristics of patients with spontaneous splenic rupture
#MMPMID25437576
Kocael PC
; Simsek O
; Bilgin IA
; Tutar O
; Saribeyoglu K
; Pekmezci S
; Goksoy E
Int Surg
2014[Nov]; 99
(6
): 714-8
PMID25437576
show ga
In the present study, we aim to share our clinical experience in patients with
spontaneous splenic rupture. Splenic rupture without trauma is known as
spontaneous splenic rupture. The major problems in the management of spontaneous
splenic rupture are missed or delayed diagnosis due to the lack of trauma in most
cases. The records of all patients, who were admitted to Cerrahpa?a Medical
Faculty, Istanbul University, were retrospectively reviewed from January 2000 to
March 2013. Twelve patients were admitted to the emergency department and they
were diagnosed with spontaneous splenic rupture. The mean age was 47.6 years. All
patients had complaints of abdominal pain. The mean hematocrit value was 22%.
Radiologic assessment revealed hemoperitoneum and/or subcapsular hematoma in 8
patients while splenic abscess was diagnosed in 2 patients. Eleven patients
underwent splenectomy whereas one was managed conservatively. The most common
cause of spontaneous splenic rupture was determined to be use of anticoagulants.
Etiology was considered to be idiopathic in 1 patient. Two patients died in the
postoperative period. Although rare, spontaneous splenic rupture must be
suspected in emergency patients who have used especially anticoagulants and
antiaggregants and who have had no recent history of trauma. One of the important
causes of mortality is missed or delayed diagnosis.