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A case of splenic rupture a week after appendectomy
A 52-year-old woman developed atraumatic splenic rupture 1 week after appendectomy for perforated appendicitis. The emergency computed tomography (CT) revealed abscessed appendicitis. We performed a laparoscopic appendectomy and meticulous peritoneal lavage of the right lower quadrant peritonitis. I...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8666193/ https://www.ncbi.nlm.nih.gov/pubmed/34909170 http://dx.doi.org/10.1093/jscr/rjab541 |
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author | Deleuze, Catherine Rasmont, Celine Ivanov, Todor Brassart, Nicolas Ghaddab, Malek Romero Stoca, Laura Hossey, Didier Choy, Tsy-Yeng Lemaitre, Jean |
author_facet | Deleuze, Catherine Rasmont, Celine Ivanov, Todor Brassart, Nicolas Ghaddab, Malek Romero Stoca, Laura Hossey, Didier Choy, Tsy-Yeng Lemaitre, Jean |
author_sort | Deleuze, Catherine |
collection | PubMed |
description | A 52-year-old woman developed atraumatic splenic rupture 1 week after appendectomy for perforated appendicitis. The emergency computed tomography (CT) revealed abscessed appendicitis. We performed a laparoscopic appendectomy and meticulous peritoneal lavage of the right lower quadrant peritonitis. Intravenous antibiotics were prolonged after surgery. Six days after appendectomy, she presented acute signs of hypotensive shock associated with abdominal pain and blood in the pelvic drain. Emergency CT scan revealed splenic rupture with major hemoperitoneum and active splenic bleeding. Embolization of the splenic artery was initially successful, but she relapsed into shock a few hours later. We proceeded to splenectomy. Pathological examination only found inflammation. She was discharged 1 month after the initial operation. Spontaneous splenic rupture is a rare but life-threatening complication of appendicitis with major peritonitis. It must be identified and treated immediately. Colic microbiota could be responsible of acute splenitis and congestion after a bacteremia. |
format | Online Article Text |
id | pubmed-8666193 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-86661932021-12-13 A case of splenic rupture a week after appendectomy Deleuze, Catherine Rasmont, Celine Ivanov, Todor Brassart, Nicolas Ghaddab, Malek Romero Stoca, Laura Hossey, Didier Choy, Tsy-Yeng Lemaitre, Jean J Surg Case Rep Case Report A 52-year-old woman developed atraumatic splenic rupture 1 week after appendectomy for perforated appendicitis. The emergency computed tomography (CT) revealed abscessed appendicitis. We performed a laparoscopic appendectomy and meticulous peritoneal lavage of the right lower quadrant peritonitis. Intravenous antibiotics were prolonged after surgery. Six days after appendectomy, she presented acute signs of hypotensive shock associated with abdominal pain and blood in the pelvic drain. Emergency CT scan revealed splenic rupture with major hemoperitoneum and active splenic bleeding. Embolization of the splenic artery was initially successful, but she relapsed into shock a few hours later. We proceeded to splenectomy. Pathological examination only found inflammation. She was discharged 1 month after the initial operation. Spontaneous splenic rupture is a rare but life-threatening complication of appendicitis with major peritonitis. It must be identified and treated immediately. Colic microbiota could be responsible of acute splenitis and congestion after a bacteremia. Oxford University Press 2021-12-11 /pmc/articles/PMC8666193/ /pubmed/34909170 http://dx.doi.org/10.1093/jscr/rjab541 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Deleuze, Catherine Rasmont, Celine Ivanov, Todor Brassart, Nicolas Ghaddab, Malek Romero Stoca, Laura Hossey, Didier Choy, Tsy-Yeng Lemaitre, Jean A case of splenic rupture a week after appendectomy |
title | A case of splenic rupture a week after appendectomy |
title_full | A case of splenic rupture a week after appendectomy |
title_fullStr | A case of splenic rupture a week after appendectomy |
title_full_unstemmed | A case of splenic rupture a week after appendectomy |
title_short | A case of splenic rupture a week after appendectomy |
title_sort | case of splenic rupture a week after appendectomy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8666193/ https://www.ncbi.nlm.nih.gov/pubmed/34909170 http://dx.doi.org/10.1093/jscr/rjab541 |
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