Non-traumatic Splenic Rupture in Dengue-positive Patient: A Case Report
Asian Journal of Case Reports in Surgery,
Background: Non-traumatic splenic rupture is a dramatic abdominal emergency that requires immediate diagnosis and surgical treatment for patient survival. We report a case of non-traumatic splenic injury in a 23 years male who presented with fever and tested positive for NS-1 (Dengue).
USG showed increased spleen size right to minimal pleural effusion. Fluid is present in the peri-splenic and pelvic regions.
CECT Abdomen shows mild hepatosplenomegaly increasing non-enhancing areas in the spleen.? Ruptured spleen. Diffuse mesenteric fat stranding with fluid along the mesenteric sleeves of edematous bowel loops. ascites in the pelvis and mesenteric sleeves of bowel loops with increased attenuation/S/O peritonitis.
HPE: Spleen with features of infarction gallbladder chronic acalculous cholecystitis.
Conclusion: Non-traumatic splenic rupture is a rare entity that needs a high index of suspicion for diagnosis in a case of dengue fever.
- Splenic rupture
- dengue fever
- pigtail catheterization
How to Cite
Ungthammakhun C, Chueansuwan W, Changpradub D. Dengue hemorrhagic fever complicated with spontaneous rupture of the spleen among patients with thalassemia and G6PD deficiency: A Case Report. Archives of Clinical and Medical Case Reports. 2021;5:873-877.
De Souza LJ, De Azevedo J, Kohler LIA, et al. Evidence of dengue virus replication in a non-traumatic spleen rupture case. Arch Virol. 2017;162:3535-3539.
Instructions for sports medicine patients; 2012.
Available:https://www.elsevier.com /books/ instructions-for-sports-medicine-patients/ safran/978-1-4160-5650-8.
Cartwright SL, Knudson MP. Evaluation of acute abdominal pain in adults. Am Fam Physician. 2008;77:971-8.
Walker AM, Foley EF. Surgical management of atraumatic splenic rupture. Int Surg J. 2016;3:2280-8.
Tonolini M, Ierardi AM, Carrafiello G. Atraumatic splenic rupture, an underrated cause of acute abdomen. Insights Imaging. 2016;7(4):641-6.
Epub 2016 May 18. Erratum in: Insights Imaging. 2016 Aug;7(4):647
Mukhopadhyay M, Chatterjee N, Maity P, Patar K. Spontaneous splenic rupture: A rare presentation of dengue fever. Indian J Crit Care Med. 2014;18:110-2.
Silva W, Gunasekera M. Spontaneous splenic rupture during the recovery phase of dengue fever. BMC Res Notes. 2015; 8(1):286.
Orloff MJ, Peskin GW. Spontaneous rupture of the normal spleen; a surgical enigma. Int Abstr Surg. 1958;106:1-11.
Gedik E, Girgin S, Aldemir M, Keles C, Tuncer MC, Aktas A. Non-traumatic splenic rupture: Report of seven cases and review of the literature. World J Gastroenterol. 2008;14:6711-6716.
Giagounidis AA, Burk M, Meckenstock G, Koch AJ, Schneider W. Pathologic rupture of the spleen in hematologic malignancies: Two additional cases. Ann Hematol. 1996;73:297-302.
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