If splenic rupture
is suspected, an exploratory laparotomy (via a midline vertical incision to maximise access and exposure) should be performed in the vast majority of patients to stop the bleeding.
is a rare finding in patients with afibrino-genemia (6-8).
Spontaneous splenic rupture
is a known rare complication of P.
The incidence of splenic rupture
is not known, and there are more autopsy diagnoses reported than surviving cases.
Disseminated infection with Bartonella henselae as a cause of spontaneous splenic rupture
5) The risk of splenic rupture
is highest during the second and third weeks of illness, when the volume increase in splenic size is at its peak; rupture 4 weeks after infection is uncommon.
A retrospective analysis of 8116 patients with infectious mononucleosis at the Mayo Clinic estimated the risk of spontaneous splenic rupture
to be 0.
28 Benter T et al in a pictorial essay of sonography of spleen concluded that though computed tomography and magnetic resonance imaging are the latest techniques available but sonography still plays a pivotal role in emergency diagnosis of splenic rupture
A high index of suspicion of peliosis is of importance in recognising the risk of spontaneous splenic rupture
and avoiding interventional procedures.
This report describes a rare case of splenic rupture
following the administration of Tenecteplase for an inferior myocardial infarction.
At the time of this writing, more than 100 cases of splenosis had been reported, with incidence of splenosis after splenic rupture
as high as 76%.
This may lead to delayed or missed diagnosis of splenic rupture
which may be life threatening (2).
An enlarged spleen is found in 50% to 80% of malaria patients (1), while only 25 cases of splenic rupture
have been reported since 1960 (0%-2% in natural occurring infection) (5).