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Atraumatic splenic rupture simulating ruptured sigmoid diverticulitis: Report of a case and review of the literature

  • Published:
Diseases of the Colon & Rectum

Summary

A case of atraumatic rupture of the spleen originally presenting as ruptured sigmoid diverticulitis is described. The underlying disease was found to be myelofibrosis. Although progressive splenomegaly is always associated with this disease, spontaneous rupture of this organ is not reported in the literature. We also reviewed the literature in regard to unusual presentation of splenic rupture and we could not find any case simulating acute sigmoid diverticulitis. It is suggested that awareness and familiarity with this disease may enable the surgeon to suspect this diagnosis when dealing with an unusual acute abdominal emergency.

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References

  1. Berman JK, Habegger ED, Fields DC, et al: Blood studies as an aid in differential diagnosis of abdominal trauma. JAMA 165: 1537, 1957

    CAS  Google Scholar 

  2. Bostrom PD, Page HG: Splenectomy: An II-year review. Arch Surg 98: 167, 1969

    PubMed  CAS  Google Scholar 

  3. Bouroncle BA, Doan CA: Myelofibrosis: Clinical, hematologic and pathologic study of 110 patients. Am J Med Sci 243: 697, 1962

    PubMed  CAS  Google Scholar 

  4. Drapanas T, Yates AJ, Brickman R, et al: The syndrome of occult rupture of the spleen. Arch Surg 99: 298, 1969

    PubMed  CAS  Google Scholar 

  5. Kobak AJ, Weiss M, Sturman HG: Ruptured spleen simulating ectopic pregnancy. Am J Obstet Gynecol 67: 422, 1954

    PubMed  CAS  Google Scholar 

  6. Lazaro EJ, Ong F, Parmer LP: Splenic rupture masquerading as acute appendicitis. Am Surg 36: 705, 1970

    PubMed  CAS  Google Scholar 

  7. Lieberman RC, Welch CS: A study of 248 instances of traumatic rupture of the spleen. Surg Gynecol Obstet 127: 961, 1968

    PubMed  CAS  Google Scholar 

  8. Orloff MJ, Peskin GW: Spontaneous rupture of the normal spleen: A surgical enigma. Int Abst Surg 106: 1, 1958

    CAS  Google Scholar 

  9. Ward HP, Block MH: The natural history of agnogenic myeloid metaplasia (AMM) and a critical evaluation of its relationship with the myeloproliferative syndrome. Medicine 50: 357, 1971

    Article  PubMed  CAS  Google Scholar 

  10. Wintrobe MM: Anemia and myelofibrosis, Clinical Hematology. Sixth edition. Philadelphia, Lea and Febiger, 1967, p 770

    Google Scholar 

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Reza Jahadi, M., Bailey, W. & Crenshaw, A. Atraumatic splenic rupture simulating ruptured sigmoid diverticulitis: Report of a case and review of the literature. Dis Colon Rectum 18, 59–61 (1975). https://doi.org/10.1007/BF02587242

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  • DOI: https://doi.org/10.1007/BF02587242

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