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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

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Splenic tear causing a hemoperitoneum after cardiac surgery.

Fabrizio Ceresa¹, Giuseppe Franciò, Pasquale Aldo Intili

¹Division of Cardiac Surgery, Papardo Hospital, Contrada Sperone 98120, Messina, Italy. ceresa77@hotmail.com

Interactive Cardiovascular and Thoracic Surgery

|September 23, 2009

Summary

This study reports the first case of hemoperitoneum caused by spontaneous splenic rupture following cardiac surgery. This rare complication highlights the spleen as a potential bleeding source after such procedures.

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Area of Science:

Cardiovascular Surgery
Abdominal Surgery
Hepatology
Gastroenterology

Background:

Hemoperitoneum, or blood in the abdominal cavity, is a rare but critical complication post-cardiac surgery.
Existing literature primarily documents intra-abdominal bleeding from liver trauma or spontaneous hepatic rupture in this context.

Observation:

This case report details a unique instance of hemoperitoneum.
The bleeding originated from a spontaneous rupture of the spleen, a previously undescribed cause in this surgical setting.

Findings:

The study identifies spontaneous splenic rupture as a novel etiology for hemoperitoneum after cardiac surgery.
This finding expands the differential diagnosis for post-operative abdominal hemorrhage.

Implications:

Clinicians should consider splenic pathology in the differential diagnosis of hemoperitoneum following cardiac surgery.
This case underscores the importance of thorough diagnostic evaluation for unexplained abdominal bleeding in post-cardiac surgery patients.