Document Detail

Delayed and occult splenic rupture: a diagnostic puzzle.
MedLine Citation:
PMID:  22668529     Owner:  NLM     Status:  In-Data-Review    
Splenic rupture is a common complaint encountered in emergency surgery. Trauma is the most common cause of splenic rupture, while non-traumatic or occult splenic rupture (OSR) is a rare condition. The differential diagnosis weighs on treatment that ranges between close monitoring, splenorrhaphy, splenic conservation and splenectomy. We report a case of an 63-year-old man presenting with acute atraumatic left upper quadrant pain. Preliminary diagnosis was subsequently determined to be a hematoma secondary to OSR. More accurate detailed history revealed a previous trauma, which occurred more than one year before and mimicked an OSR. Delayed and occult splenic rupture are as different diagnosis as different treatment. Even in emergency surgery, the key for a target therapeutic strategy should consider an accurate diagnostic time.
E Poiasina; L Battaglia; E Leo; C Muscarà; M Rampa; A Vannelli
Related Documents :
2327929 - Total excision of mucinous biliary cystadenoma.
1419139 - Correlative imaging of malignant liver tumors.
8629409 - Kala-azar: liver fine needle aspiration findings in 23 cases presenting with a fever of...
7779529 - A case of an intra-atrial tumor thrombus from hepatocellular carcinoma (hcc), first ind...
12211739 - Liver cystadenocarcinoma--case report.
7812029 - Nodular regenerative hyperplasia of the liver: ultrasonographic appearance and echo-gui...
15505279 - Radiologists' performance for differentiating benign from malignant lung nodules on hig...
16869549 - Use of fluorodeoxyglucose-positron emission tomography for the differentiation of cereb...
3344129 - Morphometric study of the growth of the subglottis after interruption of the circular s...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Il Giornale di chirurgia     Volume:  33     ISSN:  0391-9005     ISO Abbreviation:  G Chir     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-06-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011768     Medline TA:  G Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  119-22     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Modified patch repair of femoral hernia after inguinal herniorrhaphy.
Next Document:  Adenosquamous carcinoma of the esophagogastric junction. Case report.