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A Rare Case of Occult Extra-Baudet Period in a Patient With Spontaneous Splenic Rupture

Spontaneous splenic rupture in the extra-Baudet period is a rare phenomenon demanding a high clinical suspicion for diagnosis with prompt treatment. We present a case of a 39-year-old male presenting with left upper abdominal pain following six months after abdominal trauma. The patient underwent im...

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Detalles Bibliográficos
Autores principales: Das, Snehasis, Shaikh, Oseen, Gaur, Naveen Kumar, Vijayakumar, Chellappa, Kumbhar, Uday
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8397843/
https://www.ncbi.nlm.nih.gov/pubmed/34466332
http://dx.doi.org/10.7759/cureus.16707
Descripción
Sumario:Spontaneous splenic rupture in the extra-Baudet period is a rare phenomenon demanding a high clinical suspicion for diagnosis with prompt treatment. We present a case of a 39-year-old male presenting with left upper abdominal pain following six months after abdominal trauma. The patient underwent imaging studies showing a large subcapsular splenic hematoma with near-total parenchymal displacement and moderate hemoperitoneum. Sequential scans revealed a non-progressive resolving hematoma with no active extravasation. The patient underwent aggressive initial resuscitation followed by successful conservative management and was discharged.