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Splenic rupture after elective cardioversion. | LitMetric

Splenic rupture after elective cardioversion.

BMJ Case Rep

Hiram C. Polk Department of Surgery, University of Louisville, Louisville, Kentucky, USA.

Published: April 2019

AI Article Synopsis

  • Splenic laceration and rupture frequently occur in trauma cases, particularly with blunt force, but spontaneous splenic injuries without prior trauma are rare.
  • Recent case reports highlight instances of such injuries linked to viral, hematological, or malignant conditions.
  • A particular case involved a patient who experienced spontaneous splenic rupture following cardioversion, complicated by the need for anticoagulation due to atrial fibrillation; he successfully underwent splenectomy and recovered without issues.

Article Abstract

Splenic laceration and rupture are common phenomena among patients in a traumatic setting, especially in blunt trauma. Much more unusual, however, is splenic injury without a known insult. Several case reports and studies have been written about spontaneous splenic injury in patients with viral, haematological or malignant processes. Recently, we encountered a patient with a spontaneous splenic rupture and no preceding trauma apart from semielective cardioversion. Operative decision-making was complicated by the fact that he required systemic anticoagulation for atrial fibrillation. He eventually underwent splenectomy and made an uneventful recovery.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510138PMC
http://dx.doi.org/10.1136/bcr-2018-226679DOI Listing

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