ISSN 2146-8133
 

Case Report Open Access


Spontaneous rupture of normal spleen: A diagnostic dilemma

Sunder Goyal, Mohm Mojeeb Ahsan, Snigdha Goyal.

Abstract
Spontaneous rupture of normal spleen poses a diagnostic dilemma for the treating clinician. Bacterial, viral, or parasitic infection, and malignancy of the spleen are predisposing factors for atraumatic spontaneous rupture. Severe and sudden pain in the left upper abdomen with radiation to the left shoulder is the most common presenting symptom. Ultrasonography (USG) and computed tomography (CT) are important diagnostic imaging modalities. Here we present the case of a 60-year-old female who presented with severe upper left abdominal pain just after a heavy meal. Emergency USG diagnosed the patient as a case of ruptured spleen and it was further confirmed with contrast enhanced computed tomography (CECT) and paracentesis of perisplenic collection. The patient was managed conservatively with success.

Key words: Spontaneous rupture, spleen, infection, malignancy


 
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How to Cite this Article
Pubmed Style

Goyal S, Ahsan MM, Goyal S. Spontaneous rupture of normal spleen: A diagnostic dilemma. Arch Clin Exp Surg. 2015; 4(1): 60-63. doi:10.5455/aces.20121223012311


Web Style

Goyal S, Ahsan MM, Goyal S. Spontaneous rupture of normal spleen: A diagnostic dilemma. http://www.ejmaces.com/?mno=26910 [Access: February 19, 2018]. doi:10.5455/aces.20121223012311


AMA (American Medical Association) Style

Goyal S, Ahsan MM, Goyal S. Spontaneous rupture of normal spleen: A diagnostic dilemma. Arch Clin Exp Surg. 2015; 4(1): 60-63. doi:10.5455/aces.20121223012311



Vancouver/ICMJE Style

Goyal S, Ahsan MM, Goyal S. Spontaneous rupture of normal spleen: A diagnostic dilemma. Arch Clin Exp Surg. (2015), [cited February 19, 2018]; 4(1): 60-63. doi:10.5455/aces.20121223012311



Harvard Style

Goyal, S., Ahsan, M. M. & Goyal, S. (2015) Spontaneous rupture of normal spleen: A diagnostic dilemma. Arch Clin Exp Surg, 4 (1), 60-63. doi:10.5455/aces.20121223012311



Turabian Style

Goyal, Sunder, Mohm Mojeeb Ahsan, and Snigdha Goyal. 2015. Spontaneous rupture of normal spleen: A diagnostic dilemma. Archives of Clinical and Experimental Surgery (ACES), 4 (1), 60-63. doi:10.5455/aces.20121223012311



Chicago Style

Goyal, Sunder, Mohm Mojeeb Ahsan, and Snigdha Goyal. "Spontaneous rupture of normal spleen: A diagnostic dilemma." Archives of Clinical and Experimental Surgery (ACES) 4 (2015), 60-63. doi:10.5455/aces.20121223012311



MLA (The Modern Language Association) Style

Goyal, Sunder, Mohm Mojeeb Ahsan, and Snigdha Goyal. "Spontaneous rupture of normal spleen: A diagnostic dilemma." Archives of Clinical and Experimental Surgery (ACES) 4.1 (2015), 60-63. Print. doi:10.5455/aces.20121223012311



APA (American Psychological Association) Style

Goyal, S., Ahsan, M. M. & Goyal, S. (2015) Spontaneous rupture of normal spleen: A diagnostic dilemma. Archives of Clinical and Experimental Surgery (ACES), 4 (1), 60-63. doi:10.5455/aces.20121223012311





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