Spontaneous rupture of the malarial spleen

Tauro, Leo Francis; Maroli, Roshan; D'Souza, Clement R. S.; Hegde, Balkur Rathnakar; Shetty, S R; Shenoy, Divakar

doi:10.4103/1319-3767.36745

Cited by 13 publications

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“…A Medline search for cases of NSR revealed that 454 cases were reported between 1966 and February 2007 [20,21] . Malaria is the most common cause of pathologic rupture of spleen in the tropics, and life-threatening complications occur in up to an estimated 2% of cases [6,7,12,20,22] . Most cases of pathologic rupture of the spleen in malaria occur during acute infection, and usually during the primary attack [23] .…”

Section: Discussionmentioning

confidence: 99%

“…Infection, malignancy, metabolic disorders, as well as vascular and hematological diseases, of which only single case reports have been published in the literature, are the usual reasons [3][4][5] . Recently, some authors have reported that spontaneous splenic rupture has been seen as a factor in malaria [6,7] , aortic valve replacement for bacterial endocarditis [8] , normal spleen [9] , factor Ⅷ deficiency, which is a rare autosomal bleeding disorder with a frequency of 1:2 000 000 in the general population [10] , and autologous transplantation for primary systemic amyloidosis [11] . Especially, malaria was discussed retrospectively in all aspects by authors.…”

Section: Introductionmentioning

confidence: 99%

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Non-traumatic splenic rupture: Report of seven cases and review of the literature

Gedik¹,

Gırgın²,

Aldemir³

et al. 2008

WJG

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AIM:To evaluate seven patients with non-traumatic splenic rupture (NSR). NSR is an uncommon dramatic abdominal emergency that requires immediate diagnosis and prompt surgical treatment to ensure the patient's survival. METHODS: Within 11 years, seven cases were evaluated for patient characteristics, anamnesis and symptoms, method of diagnosis, findings of laparotomy, and etiology of NSR. RESULTS: There were six (86%) male and one female (14%) patient, whose mean age was 36 ± 12.8 (17-56) years. We report here four cases of Plasmodium vivax malaria (cases Ⅰ-Ⅳ), one case of hemodialysis (case Ⅴ), one case of spontaneous splenic rupture (case Ⅵ), and one case of hairy cell leukemia (case Ⅶ). Splenectomy was performed in all patients. All of them made an uneventful recovery and were discharged in stable condition. CONCLUSION: NSR is a rare entity that needs a high index of suspicion for diagnosis. Using ultrasonography or computer tomography, and peritoneal aspiration of fresh blood may assist in the diagnosis of NSR. Increased awareness of NSR can enhance early diagnosis and effective treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Non-traumatic splenic rupture: Report of seven cases and review of the literature

Gedik¹,

Gırgın²,

Aldemir³

et al. 2008

WJG

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“…Splenomegaly occurs earlier compared to other complications, such as rupture [3,6]. A palpable spleen may be present within 3 to 4 days of the onset of symptoms and may be noted in 50% to 90% of patients with malaria [4,7]. The spleen may subsequently become more hyperemic, swollen and tender with each febrile paroxysm, though partial resolution can occur between paroxysm, though partial resolution can occur between paroxysm.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous splenic rupture inPlasmodium vivaxmalaria

2014

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Malaria can present with various clinical symptoms and complications. While a tertian malaria form that is especially prevalent in Korea is characterized by mild clinical progression, occasional splenic complications are known to occur. A 26-year-old Korean male soldier without prior medical history visited The Armed Forces Capital Hospital with left upper quadrant abdominal pain one day ago. Hemostasis under laparoscopic approach was attempted. The operation was converted into laparotomy due to friable splenic tissue and consequently poor hemostasis. Splenectomy was performed. The patient was discharged at postoperative day 17 without complication. While numerous diseases can result in splenic complications, such as splenic rupture, malarial infection is known as the most common cause. The incidence of malarial infection in Korea is increasing annually, and there are occasional reports of splenic rupture due to the infection, which requires attention.

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“…The management of spontaneous or pathological splenic haemorrhage has been debated constantly. Aggressive management with early surgical intervention is important 9. The survival of patients following splenectomy is probably well correlated with the course of the underlying disease.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous splenic rupture presenting as haemoperitoneum: coinfection ofPlasmodium vivaxandPlasmodium falciparum

et al. 2013

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SUMMARYNon-traumatic splenic rupture has been described in the medical literature as a clinical entity with grave consequences, if diagnosis and subsequent treatment are delayed. Various pathological reasons implicated in non-traumatic spontaneous splenic rupture have been described in literature ranging from infection, malignancy, metabolic disorders as well as haematological malignancies. This case reports a 30-year-old man who presented in the emergency department with complaints of fever and a sudden-onset abdominal pain with no history of trauma. At hospital admission, abdominal tenderness with splenomegaly was present with free fluid in abdomen. Haematological investigations established the coinfection of Plasmodium falciparum and Plasmodium vivax. Radiological investigations revealed splenic laceration with moderate haemoperitoneum. The patient was managed conservatively with strict vital monitoring. Later on, elective splenectomy was performed. The authors report only the second case in literature with coinfection of plasmodium species presenting with haemoperitoneum.

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Spontaneous rupture of the malarial spleen

Cited by 13 publications

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Non-traumatic splenic rupture: Report of seven cases and review of the literature

Non-traumatic splenic rupture: Report of seven cases and review of the literature

Spontaneous splenic rupture inPlasmodium vivaxmalaria

Spontaneous splenic rupture presenting as haemoperitoneum: coinfection ofPlasmodium vivaxandPlasmodium falciparum

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