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Spontaneous splenic rupture mimicking pneumonia: a case report
A 74-year-old gentleman presented with a history of left-sided pleuritic chest and upper abdominal pain. Examination and chest x-ray findings were suggestive of pneumonia. An abdominal ultrasound was suggestive of spontaneous splenic rupture. An abdominal computed tomography scan showed a splenic la...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2008
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2475515/ https://www.ncbi.nlm.nih.gov/pubmed/18627615 http://dx.doi.org/10.1186/1757-1626-1-35 |
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author | MacKenzie, Karen A Soiza, Roy L |
author_facet | MacKenzie, Karen A Soiza, Roy L |
author_sort | MacKenzie, Karen A |
collection | PubMed |
description | A 74-year-old gentleman presented with a history of left-sided pleuritic chest and upper abdominal pain. Examination and chest x-ray findings were suggestive of pneumonia. An abdominal ultrasound was suggestive of spontaneous splenic rupture. An abdominal computed tomography scan showed a splenic laceration and large peri-splenic haematoma. The advice from the on-call surgical team was to treat conservatively but the patient's condition deteriorated suddenly and he died. Spontaneous splenic rupture is uncommon but probably under-diagnosed and should be considered in all patients presenting with non-specific abdominal pain. The optimal management strategy for the older patient with spontaneous ruptured spleen is unknown. |
format | Text |
id | pubmed-2475515 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-24755152008-07-19 Spontaneous splenic rupture mimicking pneumonia: a case report MacKenzie, Karen A Soiza, Roy L Cases J Case Report A 74-year-old gentleman presented with a history of left-sided pleuritic chest and upper abdominal pain. Examination and chest x-ray findings were suggestive of pneumonia. An abdominal ultrasound was suggestive of spontaneous splenic rupture. An abdominal computed tomography scan showed a splenic laceration and large peri-splenic haematoma. The advice from the on-call surgical team was to treat conservatively but the patient's condition deteriorated suddenly and he died. Spontaneous splenic rupture is uncommon but probably under-diagnosed and should be considered in all patients presenting with non-specific abdominal pain. The optimal management strategy for the older patient with spontaneous ruptured spleen is unknown. BioMed Central 2008-07-15 /pmc/articles/PMC2475515/ /pubmed/18627615 http://dx.doi.org/10.1186/1757-1626-1-35 Text en Copyright © 2008 MacKenzie and Soiza; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report MacKenzie, Karen A Soiza, Roy L Spontaneous splenic rupture mimicking pneumonia: a case report |
title | Spontaneous splenic rupture mimicking pneumonia: a case report |
title_full | Spontaneous splenic rupture mimicking pneumonia: a case report |
title_fullStr | Spontaneous splenic rupture mimicking pneumonia: a case report |
title_full_unstemmed | Spontaneous splenic rupture mimicking pneumonia: a case report |
title_short | Spontaneous splenic rupture mimicking pneumonia: a case report |
title_sort | spontaneous splenic rupture mimicking pneumonia: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2475515/ https://www.ncbi.nlm.nih.gov/pubmed/18627615 http://dx.doi.org/10.1186/1757-1626-1-35 |
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