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Spontaneous Splenic Rupture following Colorectal Surgery and Hemodialysis
Ahmed Mohammed AlMuhsin1, Antonio Privitera2, Ameera Balhareth2
1Department of General Surgery, King Fahd Military Medical Complex, Dammam, Saudi Arabia.
Case Reports in Surgery
|July 20, 2019
Summary
Spontaneous splenic rupture after colorectal surgery is a rare event. This case highlights the importance of considering splenic rupture in patients with left upper quadrant pain post-colectomy, especially those on hemodialysis.
Area of Science:
- Gastroenterology
- Surgery
- Nephrology
Background:
- Atraumatic splenic rupture is uncommon, with known risk factors including hematological, infectious, malignant splenic diseases, uremic coagulopathy, heparin use, hypertension, and immunosuppression.
- Spontaneous splenic rupture following colorectal surgery has not been previously reported in medical literature.
Observation:
- A patient developed spontaneous splenic rupture after colectomy for cancer.
- The patient was undergoing postoperative hemodialysis, a factor not previously associated with this complication.
Findings:
- The case demonstrates a novel presentation of atraumatic splenic rupture in the context of colorectal cancer surgery and hemodialysis.
- Diagnostic imaging, such as ultrasound or CT scan, is vital for identifying splenic rupture.
Implications:
- Clinicians should maintain a high index of suspicion for spontaneous splenic rupture in patients with left upper quadrant pain post-colectomy, particularly those with risk factors like hemodialysis.
- Tailored management based on clinical condition is essential for favorable outcomes.
- This case expands the understanding of potential etiological factors for spontaneous splenic rupture.
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