Atraumatic splenic rupture was attributed to intra-cystic haemorrhage and hypersplenism in a patient with cirrhosis and portal hypertension: A case report

Li, Hao; Guan, Dongyao; Xu, Junqiang; Jin, Enhao; Sun, Shu

doi:10.1177/2050313x20901900

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…In general, nonparasitic splenic cysts are usually benign, and non-traumatic bleeding into these cysts does not even occur if they are small. 5 Because both signs and symptoms are nonspecific, it is frequently misdiagnosed. 6 Furthermore, nonparasitic cysts are divided into two types: primary (true, epithelial), which are connected by the covering of epithelial (dermoid, mesothelial, and epidermoid) or the covering of endothelial (lymphangioma and hemangioma), and secondary (non-epithelial and pseudocyst), it is typically the result of post-traumatic origin.…”

Section: Discussionmentioning

confidence: 99%

Giant Post-traumatic Splenic Cysts: A Case Report

Sagiran,

Fakhriani,

Amsriza

2024

Int. J. Hum. Health Sci.

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Splenic cysts are highly infrequent, about 0.07 percent. A post-traumatic splenic cyst is a rare complication that should be noticed if a lump in the left upper abdomen swells after abdominal trauma. This publication reported a case of a 23-year-old male student with a lump in the upper left abdomen. This study aims to describe the patient’s disease with the background of the case above. The author, in this case, uses the case report research method. Case reports are detailed descriptions of rare diseases, recent occurrences, unusual indications or symptoms of disease, unreported studies, or unexpected events observed in a patient during treatment. As a result of the abdominal examination, a smooth mass was palpable on the abdomen, located in the left hypochondrium and epigastric region. This mass is stable, with a diameter of 25 cm. Computed tomography (CT) of the abdomen found hypodense lesions, round, firm, and regular in the spleen, with intralesional pneumatization and air-fluid. A median laparotomy found a giant splenic cyst. A total splenectomy was performed. Found splenic hemorrhagic cysts without signs of malignancy. An unusual occurrence of a post-traumatic giant splenic cyst. A post-traumatic splenic cyst should be considered if one has a mass in the left upper abdomen after experiencing abdominal trauma. Total splenectomy, either open or laparoscopic, is the preferred treatment, especially if the cyst is large. This study is an original study by the author and is data taken directly from patients.International Journal of Human and Health Sciences Vol. 08 No. 01 Jan’24 Page: 103-107

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Section: Discussionmentioning

confidence: 99%

Giant Post-traumatic Splenic Cysts: A Case Report

Sagiran,

Fakhriani,

Amsriza

2024

Int. J. Hum. Health Sci.

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“…Hemolytic anemia has a variety of causes that include extrinsic causes as infections, tumors, autoimmune disorders, medication side effects, leukemia, and lymphomas or intrinsic as sickle cell anemia and thalassemia patients [1]. Symptoms of hemolytic can be fatigue, fever, confusion, lightheadedness, dizziness, weakness, pale skin, or even in some cases up to heart failure.…”

Section: Discussionmentioning

confidence: 99%

Case Report of Rare cause of Acute Hemolytic Anemia in Saudi Patient (Babesiosis)

Ismail¹

2020

AII

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Babesiosis is one of the protozoan zoonotic diseases its presentation rang from asymptomatic to severe clinical conditions, with severe hemolysis. Immune status of the host and the species of the parasite has impact on the clinical presentations of the infected patient our patient is presented here; the patient was admitted from a countryside with severe anemia and a deterioration in his general condition, he was admitted to intense care unit and received blood transfusion, in addition to antimicrobial treatment in form of azithromycin and Ceftriaxon, his condition improve and released from ICU on the second day and discharge from hospital after improvement on the seventh day.

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“…The cirrhotic liver causes a high portal venous pressure (PVP) and splenomegaly. An enlarged spleen can then lead to further complications such as hypersplenism, increased spleen thickness, infarction, and splenic rupture [ 1 ]. It is estimated that 177.5 million people worldwide (2.5% of the world population) are infected with hepatitis C [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Study of the Effect of Different Hepatitis C Virus Genotypes on Splenomegaly

Azhar

Khalid

Azhar

et al. 2020

Cureus

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Background Several recent studies have shown that the hepatitis C virus (HCV) and its different genotypes are a predominant and leading cause of cirrhosis and splenomegaly in different regions of the world. Advanced stage of cirrhosis leads to portal hypertension that causes splenomegaly. This complication may have many other manifestations such as anemia, infections, and bleeding disorders in severe stages. This study aimed to determine the effect of different HCV genotypes on the development of splenomegaly and to assess which HCV genotypes are more associated with it. Materials and methods A total of 483 conveniently sampled HCV patients were included in this descriptive cross-sectional study. Six genotypes (1, 2a, 2b, 3a, 3b, and mixed) were studied, and 80 patients for each of these genotypes were included. Data were collected from patient medical records regarding patient demographic details, HCV serology and genotyping, and sonographic size of the spleen. Results In total, splenomegaly was present in 14.1% (n=68) patients. The development of splenomegaly was significantly associated with old age, as 25.2% (n=26) of patients above 60 years of age (n=103) developed splenomegaly (P=0.005). Our study determined that splenomegaly was significantly related to HCV genotypes 3a, 3b, and 1 (P<0.001, P=0.017, and P=0.019, respectively). By taking mixed genotype as a reference, the odds of developing splenomegaly with genotype 3a were the highest (OR = 9.481; CI=95%). Conclusions Our study concludes that HCV genotype 3a, 3b, and 1, and age above 60 years have a significant association with splenomegaly. Genotype 3a has the highest risk of developing splenomegaly. Therefore, our study demands screening, early diagnosis, and prompt treatment of these particular HCV genotypes to prevent complications and risk of mortality.

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Atraumatic splenic rupture was attributed to intra-cystic haemorrhage and hypersplenism in a patient with cirrhosis and portal hypertension: A case report

Cited by 3 publications

References 11 publications

Giant Post-traumatic Splenic Cysts: A Case Report

Giant Post-traumatic Splenic Cysts: A Case Report

Case Report of Rare cause of Acute Hemolytic Anemia in Saudi Patient (Babesiosis)

Study of the Effect of Different Hepatitis C Virus Genotypes on Splenomegaly

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