Spontaneous splenic rupture in a patient who received haemodialysis: Case report and a review of the literature

Chia Ching Yu, C. C. Lee, M. C. Hsieh

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2 Citations (Scopus)

Abstract

Spontaneous splenic rupture is an extremely rare complication in patients who received haemodialysis. We describe a 51-year-old woman who underwent regular haemodialysis and was admitted because of sudden onset of abdominal pain, hypovolemic shock and dizziness. Haemoperitoneum caused by spontaneous rupture of spleen was found on abdominal CT scan. Emergency splenectomy was performed, and the patient was discharged 9 days after the admission. This report demonstrates that spontaneous splenic rupture requires a high index of suspicion for diagnosis in a patient who received haemodialysis with abdominal pain and should be considered in the differential diagnosis when a patient who received haemodialysis without any trauma history has abdominal pain with unexplained hypovolemic shock.

Original languageEnglish
Pages (from-to)915-916
Number of pages2
JournalEmergency Medicine Journal
Volume26
Issue number12
DOIs
Publication statusPublished - Dec 2009

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ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Emergency Medicine

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