A Huge Subcapsular Splenic Cyst Like Hematoma in Sickle Cell Anemia.

Autor:	Odeh AM; General Surgery/Laparoscopic Surgery, Prince Saud Bin Jalawi Hospital, Al-Ahsa, SAU., Boumarah KA; General Surgery, King Fahad University Hospital, Al-Khobar, SAU., Alsumaien WA; General Surgery, King Fahad Hospital, Al-Ahsa, SAU., Al-Abbad MT; General Surgery, Prince Saud Bin Jalawi Hospital, Al-Ahsa, SAU., Al-Ali AH; General Surgery, Prince Saud Bin Jalawi Hospital, Al-Ahsa, SAU., Alammar ZA; Medicine, King Faisal University, Al-Ahsa, SAU., Alsuqair H; Medicine, King Faisal University, Al-Ahsa, SAU., Albeladi AM; General Surgery/Laparoscopic Surgery, Prince Saud Bin Jalawi Hospital, Al-Ahsa, SAU., Alsuwaigh A; General Surgery/Bariatric and Laparoscopic Surgery, Prince Saud Bin Jalawi Hospital, Al-Ahsa, SAU., Omrani A; Laparoscopic Surgery, Prince Saud Bin Jalawi Hospital, Al-Ahsa, SAU., Almuhanna MM; General Surgery, Prince Saud Bin Jalawi Hospital, Al-Ahsa, SAU., Busbaih Z; General Surgery, Prince Saud Bin Jalawi Hospital, Al-Ahsa, SAU., Al-Shaban HR; Medicine, King Faisal University, Al-Ahsa, SAU., Aldhameen AA; Medicine, King Faisal University, Al-Ahsa, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Feb 24; Vol. 14 (2), pp. e22582. Date of Electronic Publication: 2022 Feb 24 (Print Publication: 2022).
DOI:	10.7759/cureus.22582
Abstrakt:	Nontraumatic splenic rupture and hematoma are rare in sickle cell disease. We present a case of a 22-year-old Saudi male with sickle cell disease. He presented to our hospital with a history of nontraumatic abdominal pain, hemodynamic instability, and abdominal tenderness, with a large mass extending to the umbilicus. A computed tomography (CT) examination showed splenomegaly and a spleen infarction. The patient was admitted to the intensive care unit (ICU) and stabilized. He was transferred to the regular ward and discharged against medical advice (DAMA). Later on, he presented again with persistent abdominal pain. He underwent splenectomy with cholecystectomy. The patient did well postoperatively and was discharged in good condition. While conservative management is common, operative management should be considered in patient with persistent pain. Splenic rupture has a high mortality rate. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Odeh et al.)
Databáze:	MEDLINE
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