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Atraumatic splenic rupture and ileal volvulus following cocaine abuse
David H Ballard1, J Patrick Smith1, Navdeep S Samra1
1Department of Surgery, Louisiana State University Health-Shreveport, Louisiana.
Clinical Imaging
|September 2, 2015
Abstract:
We present the case of a 38-year-old male with an atraumatic splenic rupture, hemoperitoneum, and ileal volvulus following acute cocaine intoxication. Computed tomography showed a "whirl sign", a subcapsular splenic hematoma with suspected peripheral laceration, and diffuse hemoperitoneum. At laparotomy, the spleen was confirmed to be the source of bleeding and was removed. A nonreducible volvulus was found at the distal ileum, and this segment of small bowel was removed. The patient had an uneventful postoperative recovery.