AI Article Synopsis
- A 35-year-old patient with a history of splenectomy due to trauma experienced spontaneous abdominal hemoperitoneum caused by ruptured splenosis.
- Imaging revealed a large mass in the left abdomen and another potential splenule near the bladder, indicating active bleeding.
- The patient underwent exploratory laparotomy, which included hematoma evacuation and removal of two splenules, demonstrating effective surgical treatment for this rare condition.
Article Abstract
We present a case of spontaneous abdominal hemoperitoneum secondary to ruptured splenosis in a 35-year-old patient with a history of splenectomy secondary to trauma 23 years prior. Computed tomography imaging demonstrated a large amorphous mass-like structure in the mesentery of the left hemiabdomen with active extravasation and hemoperitoneum. The patient also had a separate focus of hyper-enhancing mass adjacent to the bladder representing a mass versus splenule. The patient's radiographic and clinical presentation prompted management with exploratory laparotomy, hematoma evacuation, and resection of two splenules. With only a few cases of spontaneous abdominal hemoperitoneum from splenosis reported, this case describes successful management with surgical intervention.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078057 | PMC |
| http://dx.doi.org/10.1093/jscr/rjae284 | DOI Listing |
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