一名疟疾患者脾血肿自发性破裂：病例报告及文献复习

Spontaneous rupture of splenic hematoma in a malaria patient: Case report and review of literature.

作者信息

Hussein Bassem M Abou, Ani Ali M Al, Al-Mayoofi Omar, Mehraj Mahpara, Joher Afra A, Bonilla Juanita A, Al-Mazrouei Alya S, Badri Faisal M

机构信息

General Surgery Department, Rashid Hospital, Dubai Health Authority,Dubai, United Arab Emirates.

Infectious Disease Unit, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.

出版信息

Int J Surg Case Rep. 2016;29:241-244. doi: 10.1016/j.ijscr.2016.10.017. Epub 2016 Oct 11.

DOI:10.1016/j.ijscr.2016.10.017

PMID:27923205

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5143427/

Abstract

INTRODUCTION

Blunt abdominal trauma is the most common cause of splenic rupture. Malaria is the most frequent tropical infectious cause of spontaneous splenic rupture. The exact mechanism is not well-defined.

CASE REPORT

We report a case of thirty-year-old male patient known to have malaria who presented with spontaneous splenic rupture. A trial of conservative treatment failed and splenecomy was done to control bleeding.

CONCLUSION

Spontaneous splenic rupture should be kept in mind in malaria patients presenting with left upper quadrant pain and signs of hypovolemia. Early diagnosis and treatment is essential.

摘要