tailieunhanh - báo cáo khoa học: "Spontaneous splenic rupture in an active duty Marine upon return from Iraq: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Spontaneous splenic rupture in an active duty Marine upon return from Iraq: a case report | Rice and Sutter Journal of Medical Case Reports 2010 4 353 http content 4 1 353 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Spontaneous splenic rupture in an active duty Marine upon return from Iraq a case report Jason P Rice1 Christian M Sutter2 Abstract Introduction Atraumatic splenic rupture is a rare event that has been associated with several infectious disease processes. In the active duty military population potential exposure to these pathogens is significant. Here we discuss the case of an active duty Marine with spontaneous splenic rupture upon return from a six-month deployment in Iraq. Case presentation A previously healthy 30-year-old Caucasian male active duty Marine presented with abdominal pain fever and diarrhea after deployment to Iraq in support of Operation Iraqi Freedom. Based on clinical and radiographic evidence a diagnosis of spontaneous splenic rupture was ultimately suspected. After exploratory laparotomy with confirmation of rupture splenectomy was performed and the patient made a full uneventful recovery. Histopathologic examination revealed mild splenomegaly with a ruptured capsule of undetermined cause. Conclusion Spontaneous splenic rupture is a rare event that may lead to life-threatening hemorrhage if not diagnosed and treated quickly. Although the cause of this patient s case was unknown atraumatic splenic rupture has been associated with a variety of infectious diseases and demonstrates some risks the active duty military population may face while on deployment. Having an awareness of these pathogens and their role in splenic rupture clinicians caring for military personnel must be prepared to recognize and treat this potentially fatal complication. Introduction Traumatic splenic rupture has been well documented with an estimated 30 rate of occurrence after operatively managed blunt abdominal trauma 1 . Spontaneous rupture of the spleen however is a rare clinical entity and in the .