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. 2016:29:241-244.
doi: 10.1016/j.ijscr.2016.10.017. Epub 2016 Oct 11.

Spontaneous rupture of splenic hematoma in a malaria patient: Case report and review of literature

Bassem M Abou Hussein  1 , Ali M Al Ani  2 , Omar Al-Mayoofi  3 , Mahpara Mehraj  4 , Afra A Joher  5 , Juanita A Bonilla  6 , Alya S Al-Mazrouei  7 , Faisal M Badri  8
Affiliations

Spontaneous rupture of splenic hematoma in a malaria patient: Case report and review of literature

Bassem M Abou Hussein et al. Int J Surg Case Rep. 2016.

Abstract

Introduction: Blunt abdominal trauma is the most common cause of splenic rupture. Malaria is the most frequent tropical infectious cause of spontaneous splenic rupture. The exact mechanism is not well-defined.

Case report: We report a case of thirty-year-old male patient known to have malaria who presented with spontaneous splenic rupture. A trial of conservative treatment failed and splenecomy was done to control bleeding.

Conclusion: Spontaneous splenic rupture should be kept in mind in malaria patients presenting with left upper quadrant pain and signs of hypovolemia. Early diagnosis and treatment is essential.

Keywords: Hematoma; Malaria; Rupture; Spleen; Spontaneous.

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Figures

Fig. 1
Fig. 1
Computed topography (CT) scan of the abdomen and pelvis with IV contrast showing haemoperitoneum with blood clot adjacent to spleen suggestive of rupture.
Fig. 2
Fig. 2
Intraoperative finding of a grossly enlarged spleen with a ruptured large subcapsular hematoma.
Fig. 3
Fig. 3
Histopathology: Spleen showed hematoma/hemorrhage (left) with slight red pulp expansion (right). H&E (Taken by Dr Manal Abdulrahim).
Fig. 4
Fig. 4
Histopathology: High power view showing brown/black pigment in macrophages in the splenic tissue. H&E. (Taken by Dr Manal Abdulrahim).
See this image and copyright information in PMC

References

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