Diagnosis and Treatment of Atraumatic Splenic Rupture: Experience of 8 Cases

Gastroenterology Research and Practice
Jian LiuFei Li

Abstract

Atraumatic splenic rupture (ASR) is rare but life threatening. In this study, we retrospectively described our experience on the diagnosis and treatment of 8 patients (male: 6; female: 2; mean age: 49.6) with ASR. ASR accounted for 3.2% (8/251) of the splenic ruptures. The clinical presentation of ASR was similar to traumatic splenic rupture (TSR). The sensitivity of ultrasound and contrast-enhanced computed tomography (CECT) in ASR diagnosis was 57.1% and 85.7%, respectively. According to the classification of the American Association for the Surgery of Trauma (AAST), 2 cases were classified as grade II splenic ruptures, 4 cases were classified as grade III ruptures, 1 case was classified as grade IV rupture, and 1 case was not classified. All the spleens became swollen, and hematomas were observed in 6 patients. Total splenectomy was recommended in most cases. At least 62.5% (5/8) of the patients with 7 etiological factors belonged to "atraumatic-pathological splenic rupture." Local inflammation and cancer were the most common etiological factors.

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Citations

Jun 10, 2020·Clinical Journal of Gastroenterology·Naoyuki HasegawaYuji Mizokami
Jun 22, 2021·Journal of Investigative Medicine High Impact Case Reports·Piruthiviraj NatarajanOlufemi Aduroja

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Methods Mentioned

BETA
biopsy

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