Non-traumatic splenic rupture: a report of 5 cases and review of the literatures

VernacularTitle:非创伤性脾破裂5例及文献回顾
Author: Jian LIU ; Chunqing LIU ; Yanyu FENG ; Ji WANG
Publication Type:Journal Article
Keywords: Splenic rupture; Non-traumatic; Pathological; Spontaneous; Etiology
From: Chinese Journal of Hepatobiliary Surgery 2015;21(5):313-316
CountryChina
Language:Chinese
Abstract: Objective To study the etiology,pathogenesis,diagnosis and treatment of non-traumatic splenic rupture.Method The clinical data of patients with atraumatic splenic rupture from our hospital were retrospectively analyzed,and the liferatures were reviewed.Results Most cases were male.The average age was high.The etiological factors were diverse,and the most common being blood diseases,virus infection,local inflammation and neoplasm.The pathogenesis is related to splenomegaly,increase in splenic fragility,altered haemostatic mechanisms,malposition of the spleen,and violent contraction of the diaphragm.It is more difficult to arrive at a diagnosis when compared with traumatic splenic rupture.Most patients required splenectomy,especially when the etiological factors were malignant blood diseases or splenic tumors.Some patients received non-operative treatment.The prognosis was related to the etiological factors and age.Conclusions The etiological factors of non-traumatic splenic rupture were diverse,and pathological splenic rupture was most common.A preoperative diagnosis was difficult,and splenectomy was the most common treatment.