Abstract
Splenic oncologic emergencies are rare and usually occur due to atraumatic splenic rupture in the setting of splenomegaly secondary to hematologic malignancies, primary splenic cancers, or metastatic disease. Diagnosis and management of these emergencies follow a similar paradigm to the patient suffering from blunt splenic trauma. While angioembolization and laparoscopic splenectomy may be used in select patients, open splenectomy remains the mainstay of treatment.
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References
Townsend CM, Beauchamp RD, Evers BM, Mattox KL, Sabiston DC. The spleen. In: Sabiston textbook of surgery: the biological basis of modern surgical practice. Elsevier; 2021.
Bhatnagar N, Qureshi A, Hall G. Leukaemias: a review. Paediatr Child Health. 2017;27(11):489–94.
Renzulli P, Hostettler A, Schoepfer AM, Gloor B, Candinas D. Systematic review of atraumatic splenic rupture. Br J Surg. 2009;96(10):1114–21. https://doi.org/10.1002/BJS.6737.
Abraham JA, Hornicek FJ, Kaufman AM, et al. Treatment and outcome of 82 patients with angiosarcoma. Ann Surg Oncol. 2007;14(6):1953–67. https://doi.org/10.1245/S10434-006-9335-Y.
Aubrey-Bassler FK, Sowers N. 613 cases of splenic rupture without risk factors or previously diagnosed disease: a systematic review. BMC Emerg Med. 2012;12:11. https://doi.org/10.1186/1471-227X-12-11.
Alabousi A, Patlas MN, Scaglione M, Romano L, Soto JA. Cross-sectional imaging of nontraumatic emergencies of the spleen. Curr Probl Diagn Radiol. 2014;43(5):254–67. https://doi.org/10.1067/J.CPRADIOL.2014.04.002.
Tonolini M, Bianco R. Nontraumatic splenic emergencies: cross-sectional imaging findings and triage. Emerg Radiol. 2013;20(4):323–32. https://doi.org/10.1007/S10140-013-1103-2.
Coccolini F, Improta M, Sartelli M, et al. Acute abdomen in the immunocompromised patient: WSES, SIS-E, WSIS, AAST, and GAIS guidelines. World J Emerg Surg. 2021;16(1):1–21. https://doi.org/10.1186/S13017-021-00380-1.
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Kim, D., Balan, N. (2023). Oncologic Surgical Emergencies: Spleen. In: Tarasconi, A., Bui, S., Chirica, M., Roth, G., Nahmias, J. (eds) Oncologic Surgical Emergencies. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-031-36860-8_15
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DOI: https://doi.org/10.1007/978-3-031-36860-8_15
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