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Case Reports
. 2021 Jul 29;13(7):e16707.
doi: 10.7759/cureus.16707. eCollection 2021 Jul.

A Rare Case of Occult Extra-Baudet Period in a Patient With Spontaneous Splenic Rupture

Affiliations
Case Reports

A Rare Case of Occult Extra-Baudet Period in a Patient With Spontaneous Splenic Rupture

Snehasis Das et al. Cureus. .

Abstract

Spontaneous splenic rupture in the extra-Baudet period is a rare phenomenon demanding a high clinical suspicion for diagnosis with prompt treatment. We present a case of a 39-year-old male presenting with left upper abdominal pain following six months after abdominal trauma. The patient underwent imaging studies showing a large subcapsular splenic hematoma with near-total parenchymal displacement and moderate hemoperitoneum. Sequential scans revealed a non-progressive resolving hematoma with no active extravasation. The patient underwent aggressive initial resuscitation followed by successful conservative management and was discharged.

Keywords: baudet period; blunt trauma; splenectomy; splenic hematoma; splenic rupture.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Computed tomography showing arterial phase showing peri-splenic hematoma (yellow arrow) and free fluid abdomen (red arrow). (A) Axial view. (B) Coronal view.
Figure 2
Figure 2. Computed tomography showing (A) arterial phase showing peri-splenic hematoma (yellow arrow) (axial view) and (B) venous phase showing peri-splenic hematoma (red arrow) (coronal view).

References

    1. Spontaneous rupture of a normal spleen. Badenoch DF, Maurice HD, Gilmore OJ. https://pubmed.ncbi.nlm.nih.gov/4078788/ J R Coll Surg Edinb. 1985;30:326–327. - PubMed
    1. Spontaneous rupture of the spleen: a case report and literature review. Lieberman ME, Levitt MA. Am J Emerg Med. 1989;7:28–31. - PubMed
    1. Spontaneous splenic rupture in infectious mononucleosis. Al Mashat FM, Sibiany AM, Al Amri AM. https://www.saudijgastro.com/text.asp. Saudi J Gastroenterol. 2003;9:84–86. - PubMed
    1. Clinical inquiries. Can we prevent splenic rupture for patients with infectious mononucleosis? Foreman BH, Mackler L, Malloy ED. https://pubmed.ncbi.nlm.nih.gov/15939008/ J Fam Pract. 2005;54:547–548. - PubMed
    1. Blunt splenic trauma in adults: can CT findings be used to determine the need for surgery? Becker CD, Spring P, Glättli A, Schweizer W. AJR Am J Roentgenol. 1994;162:343–347. - PubMed

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