Menéndez-Moreno Alejandro, Burneo-Esteves Mauricio, Orti-Rodríguez Rafael, Feria-González Ana, Pérez-Álvarez Antonio, Barrera-Gómez Manuel
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Tenerife, España.
Cir Cir. 2019;87(2):211-214. doi: 10.24875/CIRU.18000373.
Atraumatic splenic rupture, an infrequent surgical emergency, constitutes a life-threatening situation. The lack of a traumatic background makes it difficult to suspect. We present a case of a 45-year-old woman, with history of bariatric surgery, referred to our emergency due to 3 weeks long abdominal and lumbar pain, in shock. Imaging diagnosis of splenic rupture, emergent surgery was performed with atypical findings and good evolution. The bibliographic review, background and surgical findings allowed to postulate causality in this unusual presentation. Despite its low frequency, this pathology involves significant mortality and must be present in the patient in shock in the emergency room.
非创伤性脾破裂是一种罕见的外科急症，会构成危及生命的情况。缺乏创伤背景使得难以怀疑该病。我们报告一例45岁女性病例，该患者有减肥手术史，因持续3周的腹部和腰部疼痛、处于休克状态而被转诊至我院急诊科。经影像学诊断为脾破裂，遂进行了急诊手术，术中发现不典型但病情进展良好。通过文献回顾、病例背景和手术发现，我们推测了这种不寻常表现的病因。尽管该病发病率较低，但这种病理情况会导致显著的死亡率，在急诊室遇到休克患者时必须考虑到这种疾病。
