Spontaneous Splenic Rupture in a Peritoneal Dialysis Patient
10.3904/kjm.2019.94.6.526
- Author:
Sang Hee LEE
1
;
Dong Young LEE
;
Kyoung Hyoub MOON
;
Hyeon Jeong KIM
;
Mi Ji LEE
;
Hui Seo KIM
;
Beom KIM
Author Information
1. Division of Nephrology, Department of Internal Medicine, Veterans Healthcare System Medical Center, Seoul, Korea. glom@hanafos.com
- Publication Type:Case Report
- Keywords:
Hemoperitoneum;
Atraumatic splenic rupture;
Peritoneal dialysis
- MeSH:
Diagnosis;
Early Diagnosis;
Hemoperitoneum;
Humans;
Peritoneal Dialysis;
Splenectomy;
Splenic Rupture;
Tomography, X-Ray Computed;
Ultrasonography
- From:Korean Journal of Medicine
2019;94(6):526-529
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Atraumatic splenic rupture (ASR) in a patient undergoing peritoneal dialysis (PD) is uncommon, but can be life-threatening. According to recent systematic reviews, the major causes of ASR are 1) neoplastic (30.3%), 2) infectious (27.3%), 3) non-infectious inflammatory (20.0%), 4) iatrogenic (9.2%), 5) mechanical (6.8%), and 6) idiopathic (6.4%). It is diagnosed by imaging studies, most commonly ultrasonography and computed tomography (CT). Due to its rarity, the early diagnosis of ASR is difficult, and no standard treatment has been described. Here, we report a case of idiopathic ASR in a patient undergoing PD. The diagnosis was established by abdominal CT scan, and splenectomy was performed. Thus, hemoperitoneum in a PD patient should raise suspicion of ASR. Early diagnosis and appropriate treatment will lead to a better outcome.
