- Patients' appreciation of pre-implant augmentation of the severely resorbed maxilla with calvarial or anterior iliac crest bone: a randomized controlled trial
- Calcified or ossified benign soft tissue lesions that may simulate malignancy
- CMR feature tracking left ventricular strain-rate predicts ventricular tachyarrhythmia, but not deterioration of ventricular function in patients with repaired tetralogy of Fallot
- The use of stretching devices for treatment of trismus in head and neck cancer patients: a randomized controlled trial
- The effects of oxygen concentration on cell death, anti-oxidant transcription, acute inflammation, and cell proliferation in precision-cut lung slices
- Continuous versus intermittent infusion of cefotaxime in critically ill patients: a randomized controlled trial comparing plasma concentrations
- Onset and transition of and recovery from adverse development: Study methodology
- Social competence in newly diagnosed pediatric brain tumor patients
- Partners' adjustment to older workers' retirement: testing the role of preretirement expectations in a 10-year panel study
- Gene network approach reveals co-expression patterns in nasal and bronchial epithelium
Most Used Journals
Author Archives: Pluut OA, Holman ND, Rödel SG
[Spontaneous, atraumatic rupture of the spleen in a young man].
Ned Tijdschr Geneeskd. 2015;159(0):A8392
Authors: Pluut OA, Holman ND, Rödel SG
BACKGROUND: A spontaneous, atraumatic splenic rupture is a splenic rupture without a history of trauma. Rupture of this type may occur in a healthy patient but may also be seen in the context of an underlying neoplastic, haematological, infectious or local inflammatory condition.
CASE DESCRIPTION: A 30-year-old man presented to the emergency department with acute pain in the left shoulder, thorax and upper abdomen, accompanied by signs of haemodynamic instability. No history of trauma was reported. Because the clinical symptoms could fit various abdominal and thoracic conditions, he was sent for a CT scan. This revealed a splenic rupture with haemoperitoneum. Emergency laparotomy and splenectomy were performed. Anamnestic, histopathological and other supplementary investigations revealed no indications of underlying pathology so that a diagnosis of “atraumatic idiopathic splenic rupture” was made.
CONCLUSION: It is clinically difficult to diagnose a spontaneous, atraumatic rupture of the spleen due to the overlap in presentation with other, more common abdominal and thoracic conditions. A CT scan is essential to detect such a rupture promptly in order to provide appropriate surgical intervention.
PMID: 25873218 [PubMed – in process]