Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2016 Jan-Mar;12(1):75-8.
doi: 10.4103/0972-9941.158950.

Laparoscopic splenectomy for spontaneous rupture of the spleen

Affiliations
Case Reports

Laparoscopic splenectomy for spontaneous rupture of the spleen

Pinky M Thapar et al. J Minim Access Surg. 2016 Jan-Mar.

Abstract

Laparoscopic splenectomy is a gold standard for management of planned benign splenic pathologies. Spontaneous rupture of the spleen (SRS) leading to acute abdomen occurs in only 1% of all splenic ruptures. Laparoscopic splenectomy in traumatic and atraumatic rupture due to intra-splenic pathology is reported. We present the first reported case of laparoscopic splenectomy in a 23-year-old male who presented with hemoperitoneum due to idiopathic or SRS. The procedure was safely accomplished with slight modified technique and minimum usage of advanced gadgets.

Keywords: Acute abdomen; atraumatic splenic rupture; hemoperitoneum; laparoscopic splenectomy; spontaneous splenic rupture.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Computed tomography scan showing normal sized spleen with perisplenic haematoma
Figure 2
Figure 2
Intra-operative picture depicting hemoperitonuem with hilar ooze
Figure 3
Figure 3
Post-operative scar and port positions

References

    1. Acar YA, Dedouglu E, Cevik E, Cinar O, Arslan D, Kesim E, et al. Spontaneous rupture of spleen as a rare cause of abdominal pain. Eur J Surg Sci. 2010;1:27–9.
    1. Renzulli P, Hostettler A, Schoepfer AM, Gloor B, Candinas D. Systematic review of atraumatic splenic rupture. Br J Surg. 2009;96:1114–21. - PubMed
    1. Görg C, Cölle J, Görg K, Prinz H, Zugmaier G. Spontaneous rupture of the spleen: Ultrasound patterns, diagnosis and follow-up. Br J Radiol. 2003;76:704–11. - PubMed
    1. Basso N, Silecchia G, Raparelli L, Pizzuto G, Picconi T. Laparoscopic splenectomy for ruptured spleen: Lessons learned from a case. J Laparoendosc Adv Surg Tech A. 2003;13:109–12. - PubMed
    1. Nasr WI, Collins CL, Kelly JJ. Feasibility of laparoscopic splenectomy in stable blunt trauma: A case series. J Trauma. 2004;57:887–9. - PubMed

Publication types

LinkOut - more resources