Delayed splenic rupture as a cause of haemoperitoneum in a CAPD patient with amyloidosis

Delayed and Varied Complication of Non Operative Management in Adult Splenic Trauma

“…Recent history of decelerating motor vehicle accident, vomiting/ retching, previous gastric bypass surgery have been reported to be contributing factors to the delayed rupture of spleen (5) . Underlying diseases like SLE, amyloidosis, sarcoidosis can be contributing factors for delayed rupture of spleen through pathologic changes within the spleen (6) Our patient had an unusual presentation where he had complete white out of left lung field suggestive of left effusion but was asymptomatic for the same, in the absence of radiological evidence for rib fractures and lung parenchymal injury, which raised the doubt of a traumatic rent in the diaphragm during the trauma forming a communication with the splenic hematoma which has healed in due course. Spontaneous hemothorax due to fenestrations in the diaphragm have been documented in literature (7) .…”

Delayed Splenic Rupture

“…Of note, many cases of DSR occur along with underlying diseases such as end stage renal disease, amyloidosis 5 , rheumatoid arthritis 6 , chronic lymphocytic leukemia 7 , and sarcoidosis 8 . Although not all of these studies reported a normal initial CT scan, these cases supported the hypothesis that certain co-morbid conditions can favor the occurrence of DSR by making the spleen more fragile 7 and the small splenic lesions more prone to progress later to frank splenic rupture.…”

Spontaneous Splenic Rupture in a Hemodialysis Patient

“…The known co-morbid conditions are infiltrating malignant cells and extramedullary hematopoiesis,7 spontaneous splenic rupture in splenic infarctions,8 thrombocytopenia,9 amyloidosis,10,11 anticoagulant therapy,12,13 portal hypertension,14 connective tissue disease,15 venous thrombosis in the spleen16 and focal splenic lesions 17…”