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Splenic rupture following thrombolysis treatment for acute myocardial infarction

Thrombolysis is the gold standard of treatment for acute myocardial infarction (MI), however can be associated with haemorrhagic complications. To date, splenic rupture following thrombolysis has only been reported in those with an associated history of major trauma or splenomegaly. We report a case...

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Detalles Bibliográficos
Autores principales: Harries, RL, Gomez, KF
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JSCR Publishing Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649557/
https://www.ncbi.nlm.nih.gov/pubmed/24960736
http://dx.doi.org/10.1093/jscr/2012.7.11
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author Harries, RL
Gomez, KF
author_facet Harries, RL
Gomez, KF
author_sort Harries, RL
collection PubMed
description Thrombolysis is the gold standard of treatment for acute myocardial infarction (MI), however can be associated with haemorrhagic complications. To date, splenic rupture following thrombolysis has only been reported in those with an associated history of major trauma or splenomegaly. We report a case of a 47-year old female who developed splenic rupture following thrombolysis treatment with no history of trauma or splenomegaly. She received Tenecteplase therapy for an inferior MI, and six hours later she developed upper abdominal pain and hypotension. CT showed large haemoperitoneum with a large peri-splenic haematoma. She subsequently underwent a laparotomy and splenectomy. Patient remained well and was discharged home eight days postoperatively.
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spelling pubmed-36495572013-05-20 Splenic rupture following thrombolysis treatment for acute myocardial infarction Harries, RL Gomez, KF J Surg Case Rep Upper GI Surgery Thrombolysis is the gold standard of treatment for acute myocardial infarction (MI), however can be associated with haemorrhagic complications. To date, splenic rupture following thrombolysis has only been reported in those with an associated history of major trauma or splenomegaly. We report a case of a 47-year old female who developed splenic rupture following thrombolysis treatment with no history of trauma or splenomegaly. She received Tenecteplase therapy for an inferior MI, and six hours later she developed upper abdominal pain and hypotension. CT showed large haemoperitoneum with a large peri-splenic haematoma. She subsequently underwent a laparotomy and splenectomy. Patient remained well and was discharged home eight days postoperatively. JSCR Publishing Ltd 2012-07-01 /pmc/articles/PMC3649557/ /pubmed/24960736 http://dx.doi.org/10.1093/jscr/2012.7.11 Text en © JSCR
spellingShingle Upper GI Surgery
Harries, RL
Gomez, KF
Splenic rupture following thrombolysis treatment for acute myocardial infarction
title Splenic rupture following thrombolysis treatment for acute myocardial infarction
title_full Splenic rupture following thrombolysis treatment for acute myocardial infarction
title_fullStr Splenic rupture following thrombolysis treatment for acute myocardial infarction
title_full_unstemmed Splenic rupture following thrombolysis treatment for acute myocardial infarction
title_short Splenic rupture following thrombolysis treatment for acute myocardial infarction
title_sort splenic rupture following thrombolysis treatment for acute myocardial infarction
topic Upper GI Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649557/
https://www.ncbi.nlm.nih.gov/pubmed/24960736
http://dx.doi.org/10.1093/jscr/2012.7.11
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