Giant Splenic Hematoma can be a Hidden Condition

• Authors: Kristian Kiim Jensen , Stine Hangaard
• Languages of publication: EN

Abstracts

EN

An otherwise healthy 28-year old male presented to his general practitioner with dyspnoea in the morning and abdominal discomfort through months. Four months earlier, he had experienced a blunt trauma to the left side of his abdomen. Abdominal ultrasonography revealed a splenic hematoma and the patient was admitted to hospital. Vital signs were normal, and blood samples revealed a marginal anaemia and elevated C-reactive protein, but were otherwise normal. Computed tomography showed an 18 centimetre wide splenic hematoma. The patient was referred to another hospital for conservative treatment in the outpatient clinic.

Keywords

EN

blunt trauma; spleen; splenic hematoma

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 8
• Pages: 380-382

Dates

published

1 - 8 - 2014

received

15 - 12 - 2013

online

3 - 10 - 2014

Contributors

author

Kristian Kiim Jensen

• Department of Surgery K, Bispebjerg Hospital, Denmark

author

Stine Hangaard

• Department of Radiology, Bispebjerg Hospital, Denmark

References

• 1. McCarthy CJ, O’Brien GC, Kennedy J et al.: Splenic mass with remote trauma history: a management dilemma. Ir J Med Sci 2011; 180: 553-55.[WoS]
• 2. Leppaniemi A, Haapiainen R, Standertskjold- Nordenstam CG et al.: Delayed presentation of blunt splenic injury. Am J Surg 1988; 155: 745-49.
• 3. Deva AK , Thompson JF: Delayed rupture of the spleen 5 1/2 years after conservative management of traumatic splenic injury. Aust N Z J Surg 1996; 66: 494-95.
• 4. Smith J, Armen S, Cook CH et al.: Blunt splenic injuries: have we watched long enough? J Trauma 2008; 64: 656-63.[WoS]
• 5. Davidson RN , Wall RA : Prevention and management of infections in patients without a spleen. Clin Microbiol Infect 2001; 7: 657-60.

Identifiers

DOI

10.2478/pjs-2014-0069