Mokashi A J, Shirahatti R G, Prabhu S K, Vagholkar K R
Dept of Gastroenterological Surgical Services, TN Medical College, Bombay, Maharashtra.
J Postgrad Med. 1992 Jul-Sep;38(3):141-2.
Two cases of spontaneous rupture of malarial spleen are reported here. One of them was a male who was on chloroquine for an acute attack of malaria. While on therapy, he complained of pain in left hypochondrium followed by palpitations. The other patient was a female who was admitted for continuous dull aching pain and fever. In both the patients, exploratory laparotomy revealed an enlarged spleen with tear. Splenectomy was performed. Histopathological examination revealed dilated congested sinusoid with follicular atrophy, and RBCs with malarial parasites. The post-operative course was smooth in both patients.
本文报告了两例疟脾自发性破裂的病例。其中一例是一名男性，因疟疾急性发作正在服用氯喹。治疗期间，他诉说左季肋部疼痛，随后出现心悸。另一例患者是一名女性，因持续性隐痛和发热入院。在这两名患者中，剖腹探查均发现脾脏肿大并有撕裂伤。遂行脾切除术。组织病理学检查显示窦状隙扩张充血，滤泡萎缩，红细胞内有疟原虫。两名患者术后恢复过程均顺利。
