Non-traumatic rupture of voluminous non-typhoid Salmonella splenic abscess presenting with peritonitis: Case report and review of the literature

Evola, Giuseppe; Piazzese, Enrico; Cantella, Roberto; Iudica, Marianna; Veroux, G; Sarvà, Salvatore

doi:10.1016/j.ijscr.2020.12.081

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…Pancreatic pseudocysts vary in size from small (<2 cm) to medium (2–6 cm) and large. Several cases of giant pancreatic pseudocysts have already been reported in the literature; however, few cases of giant pancreatic pseudocysts with a maximum diameter of more than 10 cm have been reported in the literature, including details [ 1 , 10 , 11 ]. The three principal treatments used for pancreatic pseudocysts are pseudocyst drainage, vessel thromboembolization, and conservative management [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

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Giant hemorrhagic pancreatic pseudocyst with suspected cystic pancreatic tumor: a case report

Nakatake,

Kitade,

Ishizaki

et al. 2024

Journal of Surgical Case Reports

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Pancreatic pseudocysts are surrounded by a non-epithelialized wall confined to the pancreas and localized to the pancreatic tissue or adjacent pancreatic cavity. In contrast, pancreatic cystic tumors occur less frequently than solid lesions and are often detected incidentally on imaging. Regarding the qualitative diagnosis of pancreatic pseudocysts, it is important to differentiate them from neoplastic cysts. We report the case of a 74-year-old woman with a giant hemorrhagic pancreatic pseudocyst and a suspected cystic pancreatic tumor, wherein distal pancreatectomy and splenectomy with lymph node dissection were performed. The patient was discharged 11 days postsurgery, with a good postoperative course. There are no reports of giant pancreatic pseudocysts larger than 10 cm with hematoma contents. The presumptive diagnosis of pseudocysts based on imaging alone may be difficult. Surgical resection is considered when it is difficult to distinguish a giant pancreatic pseudocyst from a cystic neoplasm.

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Section: Discussionmentioning

confidence: 99%

“…Surgical resection is indicated unless malignancy can be unequivocally excluded [ 13–15 ]. As in our case, there is a report of a patient who underwent pancreatectomy for a large pancreatic pseudocyst larger than 10 cm because of the difficulty in differentiating it from a pancreatic neoplasm [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Giant hemorrhagic pancreatic pseudocyst with suspected cystic pancreatic tumor: a case report

Nakatake,

Kitade,

Ishizaki

et al. 2024

Journal of Surgical Case Reports

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“…29 Other bacterial causes of splenic rupture include Clostridium perfringens with gas gangrene 30 as well as Salmonella paratyphi 31 and non-typhoid Salmonella. 32 Splenic abscesses may predispose to rupture and if found at autopsy should initiate a careful search for evidence of Reported examples have included a 15-year-old girl with embolized mitral valve vegetations that led to fatal rupture of a Haemophilus parainfluenzae splenic abscess, and a middle aged woman with Streptococcus mitis. 33,34 Hydatid disease may be a rare cause of sudden death with Belli et al reporting the case of a 56-year-old man who died following rupture of a 30 cm × 30 cm hydatid cyst in his spleen (Figure 2(F)).…”

Section: Infectionsmentioning

confidence: 99%

“…29 Other bacterial causes of splenic rupture include Clostridium perfringens with gas gangrene 30 as well as Salmonella paratyphi 31 and non-typhoid Salmonella. 32…”

Section: Infectionsmentioning

confidence: 99%

Unexpected death involving the spleen – an overview

2023

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The spleen is located in the left upper quadrant of the abdominal cavity and has both immunological and haematological functions. A variety of quite different entities may be associated with sudden death due to splenic involvement. These range from simple traumatic disruption of the parenchyma of a normal spleen with marked intra-abdominal haemorrhage, to conditions such as malaria and infectious mononucleosis where splenomegaly predisposes to rupture. Haematological diseases such as malignancies and haemoglobinopathies may causes sudden death due to haemorrhage or red cell sequestration. Asplenia or polysplenia may be associated with significant congenital heart disease. Hyposplenia, both structural and functional, may also result in rapid demise from sometimes unusual bacterial infections. Vascular abnormalities causing death include entities such as splenic artery aneurysms. Thus, deaths from splenic pathology may be due to localised issues or may be part of more generalised disease. For this reason the autopsy in cases of splenic-associated deaths must be comprehensive and include special testing such as microbiological screening and/or haematologic/genetic evaluation.

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Idiopathic giant pancreatic pseudocyst presenting in emergency with abdominal compartment syndrome and intestinal occlusion: Case report and review of the literature

Evola

Ferrara

Scravaglieri

et al. 2021

International Journal of Surgery Case Reports

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Highlights Idiopathic giant pancreatic pseudocyst (IGPP) is a rare pancreatic disease. Diagnosis of IGPP in emergency [ [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] ] is a challenge because of its rarity, the absence of history of pancreatitis and specific symptoms and signs. IGPP may cause intestinal obstruction, intra-abdominal hypertension and abdominal compartment syndrome requiring a decompressive laparotomy. Distal pancreaticosplenectomy may be the correct treatment of undiagnosed IGPP if there is suspicion or inability to exclude a malignant cystic pancreatic neoplasm.

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Non-traumatic rupture of voluminous non-typhoid Salmonella splenic abscess presenting with peritonitis: Case report and review of the literature

Cited by 3 publications

References 17 publications

Giant hemorrhagic pancreatic pseudocyst with suspected cystic pancreatic tumor: a case report

Giant hemorrhagic pancreatic pseudocyst with suspected cystic pancreatic tumor: a case report

Unexpected death involving the spleen – an overview

Idiopathic giant pancreatic pseudocyst presenting in emergency with abdominal compartment syndrome and intestinal occlusion: Case report and review of the literature

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