Nadir Görülen Bir Olgu; Spontan Dalak Rüptürü

Year 2019, Volume: 4 Issue: 3, 123 - 126, 30.11.2019

Murat Tepe , Hakan Hakkoymaz , Ali İhsan Kilci

Abstract

Primer
dalak anjiosarkomu ve buna bağlı olarak görülen spontan dalak rüptürü çok nadir
görülen bir hastalıktır. Bu yazıda ani başlangıçlı karın ağrısı ile başvuran ve
geliş muayenesinde şok bulguları olan, sonrasında yapılan değerlendirmede
dalak rüptürü tespit edilen olgu tartışıldı. Olgumuzda anjiosarkom tanısı
post-op patoloji materyal sonucu ile konuldu. Dalak rüptürü gelişen anjiosarkom
olgularında mortalite çok yüksek seyrettiğinden, hastalara dalak anjiosarkom
tanısı aldığı takdirde erken dönemde splenektomi uygulanmalıdır.  

Keywords

Acil servis, Dalak, Spontan rüptür

A Rare Case: Spontaneous Splenic Rupture Because of Splenic Angiosarcoma

Abstract

Primary
splenic angiosarcoma and associated spontaneous splenic rupture are very rare
diseases. In this article, we discussed a patient who had the complaint of
sudden onset abdominal pain, had shock findings in the first examination and
who was diagnosed with splenic rupture in the later evaluation. In our case,
the patient was diagnosed with angiosarcoma by post-operative pathology
material results. Since mortality rate is very high in angiosarcoma patients
who develop splenic rupture; splenectomy should be performed in the early period,
if patients are diagnosed with splenic angiosarcoma.  

Keywords

Emergency department, Spleen, Spontaneous rupture

References

• 1. Akoury T, Whetstone DR. Splenic Rupture. 2019 May 6. StatPearls [Internet].Treasure Island (FL): StatPearls Publishing; 2019 Jan.
• 2. LI, Rong, et al. Clinical Characteristics and Prognostic Factors of Primary Splenic Angiosarcoma: A Retrospective Clinical Analysis from China. Cellular Physiology and Biochemistry, 2018; 1959-1969.
• 3. Henden ÇP, Baydin A, Yürüker S, Erenler AK, Şengüldür E. Investigation of Geriatric Patients with Abdominal Pain Admitted to Emergency Department. Curr Gerontol Geriatr Res. 2018; 9109326.
• 4. Yang KF, Li Y, Wang DL, Yang JW, Wu SY, Xiao WD. Primary splenic angiosarcoma with liver metastasis: A case report and literature review. World J Gastroenterol. 2016; 22(12):3506-10.
• 5. Azevedo OS, Nascimento Santos B, Souza Liboni N, Costa JF, Campos OD. Splenic Angiosarcoma: A Diagnostic Splenectomy Finding. Case Rep Oncol. 2016; 9(3):733-737.
• 6. Chapman AL, Watkin R, Ellis CJ. Abdominal pain in acute infectious mononucleosis. BMJ 2002; 324:660-661.
• 7. Duan YF, Jiang Y, Wu CX, Zhu F. Spontaneous rupture of primary splenic angiosarcoma: a case report and literature review. World J Surg Oncol. 2013; 4:11-53
• 8. Mc Entee GP, Otridge BW, Hefferman SJ. Acute lymphocytic leukemia presenting as spontaneous splenic rupture. Ir J Med Sci. 1984; 153:284-285.
• 9. Mayir B, Colak T, Dinçkan A. Spontaneous spleen rupture due to primary splenic angiosarcoma: a case report. Ulus Travma Acil Cerrahi Derg. 2007 Oct;13(4):313-15.
• 10. Gaballah AH, Jensen CT, Palmquist S, Pickhardt PJ, Duran A, Broering G, Elsayes KM. Angiosarcoma: clinical and imaging features from head to toe. Br J Radiol. 2017 Jul;90(1075):20170039.
• 11. Chen F, Jin HF, Fan YH, Cai LJ, Zhang ZY, Lv B. Case report of primary splenic angiosarcoma with hepatic metastases. World J Gastroenterol. 2015 Oct 21;21(39):11199-204.