Spontaneous splenic rupture in a patient with severe malaria: a case report from the Somali region of Ethiopia

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11310%2F25%3A10506622" target="_blank" >RIV/00216208:11310/25:10506622 - isvavai.cz</a>

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=dMlbnRZToG" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=dMlbnRZToG</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1097/IO9.0000000000000315" target="_blank" >10.1097/IO9.0000000000000315</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Spontaneous splenic rupture in a patient with severe malaria: a case report from the Somali region of Ethiopia

Popis výsledku v původním jazyce

Introduction and importance: Spontaneous splenic rupture (SSR) is a rare yet potentially life-threatening condition. Malaria is a significant infectious etiology of SSR, as it induces splenomegaly, thereby increasing the risk of rupture, particularly in resource-limited settings. Herein, we report a case of SSR in a 25-year-old male.Case presentation: A 25-year-old male patient presented to emergency department with fever, chills, and headache, without any antecedent history of trauma. Physical examination revealed pale conjunctiva, and the abdominal examination was initially normal; however, the following day, it showed mild abdominal distension with generalized tenderness, predominantly in the left upper quadrant. Laboratory investigations showed anemia (Hg of 9 g/dl), thrombocytopenia (platelets of 25 x 10(3)/µl). A positive rapid diagnostic test for Plasmodium falciparum. Abdominal ultrasound revealed massive hemoperitoneum and splenic rupture. Computed tomography scan demonstrated multiple branching splenic parenchymal lacerations with massive hemoperitoneum. Emergency Laparotomy was performed and splenectomy was carried out.Clinical discussion: Treatment strategies are contingent upon the patient&apos;s stability: conservative management is appropriate for stable patients, whereas splenectomy is indicated for those who are unstable hemodynamically.Conclusion: malaria remains a significant health burden, particularly sub-Saharan Africa with rare but life-threatening complication may occur like SSR.

Název v anglickém jazyce

Spontaneous splenic rupture in a patient with severe malaria: a case report from the Somali region of Ethiopia

Popis výsledku anglicky

Introduction and importance: Spontaneous splenic rupture (SSR) is a rare yet potentially life-threatening condition. Malaria is a significant infectious etiology of SSR, as it induces splenomegaly, thereby increasing the risk of rupture, particularly in resource-limited settings. Herein, we report a case of SSR in a 25-year-old male.Case presentation: A 25-year-old male patient presented to emergency department with fever, chills, and headache, without any antecedent history of trauma. Physical examination revealed pale conjunctiva, and the abdominal examination was initially normal; however, the following day, it showed mild abdominal distension with generalized tenderness, predominantly in the left upper quadrant. Laboratory investigations showed anemia (Hg of 9 g/dl), thrombocytopenia (platelets of 25 x 10(3)/µl). A positive rapid diagnostic test for Plasmodium falciparum. Abdominal ultrasound revealed massive hemoperitoneum and splenic rupture. Computed tomography scan demonstrated multiple branching splenic parenchymal lacerations with massive hemoperitoneum. Emergency Laparotomy was performed and splenectomy was carried out.Clinical discussion: Treatment strategies are contingent upon the patient&apos;s stability: conservative management is appropriate for stable patients, whereas splenectomy is indicated for those who are unstable hemodynamically.Conclusion: malaria remains a significant health burden, particularly sub-Saharan Africa with rare but life-threatening complication may occur like SSR.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

10613 - Zoology

Projekt

—

Návaznosti

S - Specificky vyzkum na vysokych skolach<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

International Journal of Surgery Open

ISSN

2405-8572

e-ISSN

2405-8572

Svazek periodika

63

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

4

Strana od-do

474-477

Kód UT WoS článku

001630950600011

EID výsledku v databázi Scopus

2-s2.0-105015371636