The CT findings vary from mild subcapsular hematoma to fatal splenic rupture
accompanied by massive hemoperitoneum, depending on the degree of injury.
While splenic rupture
has been previously reported in avian coxiellosis cases, (3) and more than a week passed between splenic aspiration and rupture, the potential role of iatrogenic injury caused by the fine-needle aspirate must also be considered.
1,2] Rarely, especially if localised under the splenic capsule, splenic haemangiomas can cause subcapsular haematomas, complete splenic rupture
and consequently severe internal bleeding.
In case one, the patient was quite stable as they investigated her injuries, computed tomography (CT) confirming splenic rupture
, which was initially managed conservatively but eventually required surgical intervention.
Her H & H were very low; pulse ox 91%m and she had a personal history of splenic rupture
when her bipolar son stopped his meds because he was feeling better.
Active bleeding was seen at the splenic hilum, consistent with a splenic rupture
In addition, two cases also had liver rupture, two cases had splenic rupture
, one patient also had a pulmonary contusion and eight cases also had limb fractures.
However, some other conditions, including acute pancreatitis, ectopic pregnancy, perforated duodenal ulcer, portal hypertension, or splenic rupture
have also been reported to exhibit this sign.
in afibrinogenemia has been reported only in 6 cases so far.
Heparin-induced thrombocytopenia (HIT) causing portosplenic, superior mesenteric, and splenic vein thrombosis resulting in splenic rupture
and pulmonary emboli formation.
Also, there have been cases of LCA and littoral cell angiosarcoma (11) reported to present as splenic rupture
6,7) Its incidence is not accurately known but it is thought to occur in upwards of 65% of splenic rupture