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Ruptura esplénica espontánea. Reporte de caso y revisión de la literatura

BACKGROUND: Spontaneous splenic rupture is often life threatening due to delay in diagnosis and treatment. Abdominal pain, Kehr's sign, nausea, bloating, altered consciousness, and intestinal obstruction may be present. In larger splenic lesions, signs of peritonitis and hypovolemic shock are p...

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Detalles Bibliográficos
Autores principales: Reyes-Jaimes, Libertad, Camacho-Aguilera, José Francisco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto Mexicano del Seguro Social 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484555/
https://www.ncbi.nlm.nih.gov/pubmed/37540732
http://dx.doi.org/10.5281/zenodo.8200591
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author Reyes-Jaimes, Libertad
Camacho-Aguilera, José Francisco
author_facet Reyes-Jaimes, Libertad
Camacho-Aguilera, José Francisco
author_sort Reyes-Jaimes, Libertad
collection PubMed
description BACKGROUND: Spontaneous splenic rupture is often life threatening due to delay in diagnosis and treatment. Abdominal pain, Kehr's sign, nausea, bloating, altered consciousness, and intestinal obstruction may be present. In larger splenic lesions, signs of peritonitis and hypovolemic shock are present. Contrast-enhanced computed tomography is the election study. Diagnosis is confirmed by negative viral serology and normal spleen on gross and histopathologic inspection. The most frequent treatment in splenectomy. CLINICAL CASE: A 30-year-old male with no medical history presented with generalized abdominal pain accompanied by Kehr's sign. He is diagnosed with ruptured spleen by contrast-enhanced computed tomography and successfully treated with splenectomy. He was discharged 6 days after surgery. CONCLUSIONS: Spontaneous rupture of the spleen is uncommon, but with high morbidity and mortality. It must be a differential diagnosis in the face of abdominal and/or chest pain, and the corresponding imaging studies should be carried out if the patient's conditions allow it, or their search during an exploratory laparotomy.
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spelling pubmed-104845552023-09-08 Ruptura esplénica espontánea. Reporte de caso y revisión de la literatura Reyes-Jaimes, Libertad Camacho-Aguilera, José Francisco Rev Med Inst Mex Seguro Soc Casos Clínicos BACKGROUND: Spontaneous splenic rupture is often life threatening due to delay in diagnosis and treatment. Abdominal pain, Kehr's sign, nausea, bloating, altered consciousness, and intestinal obstruction may be present. In larger splenic lesions, signs of peritonitis and hypovolemic shock are present. Contrast-enhanced computed tomography is the election study. Diagnosis is confirmed by negative viral serology and normal spleen on gross and histopathologic inspection. The most frequent treatment in splenectomy. CLINICAL CASE: A 30-year-old male with no medical history presented with generalized abdominal pain accompanied by Kehr's sign. He is diagnosed with ruptured spleen by contrast-enhanced computed tomography and successfully treated with splenectomy. He was discharged 6 days after surgery. CONCLUSIONS: Spontaneous rupture of the spleen is uncommon, but with high morbidity and mortality. It must be a differential diagnosis in the face of abdominal and/or chest pain, and the corresponding imaging studies should be carried out if the patient's conditions allow it, or their search during an exploratory laparotomy. Instituto Mexicano del Seguro Social 2023 /pmc/articles/PMC10484555/ /pubmed/37540732 http://dx.doi.org/10.5281/zenodo.8200591 Text en © 2023 Revista Medica del Instituto Mexicano del Seguro Social. https://creativecommons.org/licenses/by-nc-nd/4.0/Esta obra está bajo una Licencia Creative Commons Atribución-NoComercial-SinDerivar 4.0 Internacional.
spellingShingle Casos Clínicos
Reyes-Jaimes, Libertad
Camacho-Aguilera, José Francisco
Ruptura esplénica espontánea. Reporte de caso y revisión de la literatura
title Ruptura esplénica espontánea. Reporte de caso y revisión de la literatura
title_full Ruptura esplénica espontánea. Reporte de caso y revisión de la literatura
title_fullStr Ruptura esplénica espontánea. Reporte de caso y revisión de la literatura
title_full_unstemmed Ruptura esplénica espontánea. Reporte de caso y revisión de la literatura
title_short Ruptura esplénica espontánea. Reporte de caso y revisión de la literatura
title_sort ruptura esplénica espontánea. reporte de caso y revisión de la literatura
topic Casos Clínicos
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484555/
https://www.ncbi.nlm.nih.gov/pubmed/37540732
http://dx.doi.org/10.5281/zenodo.8200591
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