Rotura atraumática idiopática de bazo.

• Forneiro Pérez, Rocío ^[1] ; García Rubio, Jesús ^[1] ; Alejandre Ovejero, Beatriz ^[1] ; Oehling de los Reyes, Hermann ^[1]
  1. [1] Hospital Univesitario San Cecilio
• Localización: Revista chilena de cirugía, ISSN-e 0718-4026, ISSN 0379-3893, Vol. 75, Nº. 3, 2023
• Idioma: español
• Títulos paralelos:
  • Idiopathic atraumatic rupture of the spleen
• Enlaces
  • Texto completo
• Resumen
  • español

    Objetivo: se presenta un caso de rotura esplénica atraumática idiopática.Material y métodos: Mujer joven que estando ingresada y con reposo relativo por colección intraabdominal cercana a la colostomía presenta rotura de bazo.Resultados: Se realiza esplenectomía urgente evidenciando gran hemoperitoneo y rotura esplénicaDiscusión y conclusiones: el diagnóstico de rotura esplénica atraumática debe tenerse en cuenta en los pacientes con dolor abdominal de aparición súbita ya que un retraso en el diagnóstico puede conducir a un aumento de la tasa de mortalidad. Objective: a case of idiopathic atraumatic splenic rupture is presented.Material and methods: A young woman was admitted to hospital with relative rest due to an intra-abdominal collection near the colostomy and presented with a ruptured spleen.Results: An urgent splenectomy was performed, revealing large haemoperitoneum and splenic rupture.Discussion and conclusions: the diagnosis of atraumatic splenic rupture should be taken into account in patients with sudden onset abdominal pain, as a delay in diagnosis may lead to an increased mortality rate.

  • English

    Objective: A case of idiopathic atraumatic splenic rupture is presented. Clinical case: A young woman was admitted to hospital with relative rest due to an intra-abdominal collection near the colostomy and presented with a ruptured spleen. An urgent splenectomy was performed, revealing large haemoperitoneum and splenic rupture. Discussion and conclusions: the diagnosis of atraumatic splenic rupture should be taken into account in patients with sudden onset abdominal pain, as a delay in diagnosis may lead to an increased mortality rate.