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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...

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Autores principales: Deleuze, Catherine, Rasmont, Celine, Ivanov, Todor, Brassart, Nicolas, Ghaddab, Malek, Romero Stoca, Laura, Hossey, Didier, Choy, Tsy-Yeng, Lemaitre, Jean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
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.
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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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