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2009 | 81 | 5 | 246-250
Article title

Traumatic Rupture of Massively Enlarged Spleen in Patient with Malignant Lymphoma and Thrombocytopenia - A Case Report

Content
Title variants
Languages of publication
EN
Abstracts
EN
Traumatic ruptures of enlarged spleen in the course of haematological conditions are very rare. A case of 51-years old male suffering from a low-grade malignancy non-Hodgin lymphoma, who sustained a rupture of his massively enlarged spleen as a result of blunt trauma of the left side of abdomen and chest is reported. The patient attended to the hospital three days after trauma because of abdominal pain and weakness. Investigations revealed parenchymal laceration of massively enlarged spleen, heamoperitoneum, moderate anaemia and thrombocytopenia 48 G/l. Laparotomy was performed the next day after admission, after preparing packed red blood cells and packed platelets. Massively enlarged, 2.6 kg weight, ruptured spleen was removed and post-operative course was uneventful. Authors consider a reasonable the decision on delayed operation, when no signs of active intra-abdominal bleeding were observed. It allowed to prepare optimal conditions for potentially difficult splenectomy.
Publisher

Year
Volume
81
Issue
5
Pages
246-250
Physical description
Dates
published
1 - 5 - 2009
online
8 - 9 - 2009
Contributors
  • Department of General and Hand Surgery, Pomeranian Medical University, Szczecin
  • Department of General and Hand Surgery, Pomeranian Medical University, Szczecin
References
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  • Berne JD, Asensio JA, Falabella A, et al.: Traumatic rupture of the spleen in a patient with hereditary spherocytosis. J Trauma 1997; 42: 323-26.[Crossref]
  • Martinazzi M, Palatini M: A casual finding of primary splenic Hodgkin's disease in a case of traumatic rupture of the spleen. Tumori 1978; 64: 639-43.
  • Granderath FA, Pointner R: Laparoscopic splenectomy in an adipose elderly patient with symptomatic non-Hodgkin lymphoma-related splenomegaly and traumatic central splenic hematoma. Endosc Percutan Tech 2006; 16: 195-97.
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Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-009-0038-5
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