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Refractory splenic bleeding from splenic angiosarcoma: A case report and literature review

INTRODUCTION AND IMPORTANCE: Atraumatic splenic rupture (ASR) is a rare state that accounts for only <1 % of splenic ruptures. One of the causes of ASR is splenic neoplasm such as angiosarcoma. The treatment strategy for ASR is still unclear given the small number of cases reported in detail. CAS...

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Autores principales: Kawazoe, Tetsuro, Ohgaki, Kippei, Adachi, Eisuke, Ikeda, Yoichi, Fushimi, Fumiyoshi, Kakihara, Daisuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568872/
https://www.ncbi.nlm.nih.gov/pubmed/36261945
http://dx.doi.org/10.1016/j.ijscr.2022.107708
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author Kawazoe, Tetsuro
Ohgaki, Kippei
Adachi, Eisuke
Ikeda, Yoichi
Fushimi, Fumiyoshi
Kakihara, Daisuke
author_facet Kawazoe, Tetsuro
Ohgaki, Kippei
Adachi, Eisuke
Ikeda, Yoichi
Fushimi, Fumiyoshi
Kakihara, Daisuke
author_sort Kawazoe, Tetsuro
collection PubMed
description INTRODUCTION AND IMPORTANCE: Atraumatic splenic rupture (ASR) is a rare state that accounts for only <1 % of splenic ruptures. One of the causes of ASR is splenic neoplasm such as angiosarcoma. The treatment strategy for ASR is still unclear given the small number of cases reported in detail. CASE PRESENTATION: A 75-year-old woman presenting with abdominal pain with shock was referred to our hospital. Emergency computed tomography revealed splenic rupture, and hemodynamic stabilization was obtained by emergent vascular embolization. Rebleeding occurred 27 days after the initial treatment, and splenectomy was performed. Pathologically, ASR was diagnosed as caused by splenic angiosarcoma. CLINICAL DISCUSSION: ASR is a very rare disease. The etiology of ASR has been reported as neoplastic, infectious, and so on. The treatment for ASR should be decided considering the etiology of ASR, hemodynamic stability, volume of blood transfusion, patient status, severity of the splenic injury, and volume of intraperitoneal bleeding. CONCLUSIONS: We experienced a very rare case of ASR, in which diagnosis was challenging and the timing of surgery was difficult to determine. When splenic rupture has an atraumatic cause, splenectomy should be considered because of the possibility of malignancy.
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spelling pubmed-95688722022-10-16 Refractory splenic bleeding from splenic angiosarcoma: A case report and literature review Kawazoe, Tetsuro Ohgaki, Kippei Adachi, Eisuke Ikeda, Yoichi Fushimi, Fumiyoshi Kakihara, Daisuke Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Atraumatic splenic rupture (ASR) is a rare state that accounts for only <1 % of splenic ruptures. One of the causes of ASR is splenic neoplasm such as angiosarcoma. The treatment strategy for ASR is still unclear given the small number of cases reported in detail. CASE PRESENTATION: A 75-year-old woman presenting with abdominal pain with shock was referred to our hospital. Emergency computed tomography revealed splenic rupture, and hemodynamic stabilization was obtained by emergent vascular embolization. Rebleeding occurred 27 days after the initial treatment, and splenectomy was performed. Pathologically, ASR was diagnosed as caused by splenic angiosarcoma. CLINICAL DISCUSSION: ASR is a very rare disease. The etiology of ASR has been reported as neoplastic, infectious, and so on. The treatment for ASR should be decided considering the etiology of ASR, hemodynamic stability, volume of blood transfusion, patient status, severity of the splenic injury, and volume of intraperitoneal bleeding. CONCLUSIONS: We experienced a very rare case of ASR, in which diagnosis was challenging and the timing of surgery was difficult to determine. When splenic rupture has an atraumatic cause, splenectomy should be considered because of the possibility of malignancy. Elsevier 2022-09-27 /pmc/articles/PMC9568872/ /pubmed/36261945 http://dx.doi.org/10.1016/j.ijscr.2022.107708 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Kawazoe, Tetsuro
Ohgaki, Kippei
Adachi, Eisuke
Ikeda, Yoichi
Fushimi, Fumiyoshi
Kakihara, Daisuke
Refractory splenic bleeding from splenic angiosarcoma: A case report and literature review
title Refractory splenic bleeding from splenic angiosarcoma: A case report and literature review
title_full Refractory splenic bleeding from splenic angiosarcoma: A case report and literature review
title_fullStr Refractory splenic bleeding from splenic angiosarcoma: A case report and literature review
title_full_unstemmed Refractory splenic bleeding from splenic angiosarcoma: A case report and literature review
title_short Refractory splenic bleeding from splenic angiosarcoma: A case report and literature review
title_sort refractory splenic bleeding from splenic angiosarcoma: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568872/
https://www.ncbi.nlm.nih.gov/pubmed/36261945
http://dx.doi.org/10.1016/j.ijscr.2022.107708
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