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Published on: November 15, 2024
Non-traumatic splenic rupture in a patient with Kasabach-Merritt syndrome
Jitesh Parmar1, Behnam Shaygi, Mike Nelson
1St Mary's Hospital, General Surgery, Parkhurst Road, Newport, Isle of Wight PO30 5TG, UK.
Abstract:
This report presents a case illustrating the complications of Kasabach-Merritt syndrome in a 22-year-old man. The patient presented with acute abdominal pain and profound anaemia; a CT scan revealed intraperitoneal bleeding from spontaneous splenic rupture. The patient underwent initial emergency laparotomy and splenectomy, with a subsequent further laparotomy to control haemorrhage. Blood products requirements were extensive: 28 units red blood cells, 14 units fresh frozen plasma, 10 units platelets, 10 units cryoprecipitate and 2× Novo VII. He was then transferred to a nearby tertiary care unit for further management to control his coagulaopathy and he made a full recovery after 4 weeks.
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