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Delayed Splenic Rupture: A Rare Complication of Snakebites
Tae-Youn Kim1, Young-Il Roh1, Kyoung-Chul Cha1
1Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Gangwondo, Republic of Korea.
A rare case of delayed splenic rupture occurred after a venomous snakebite. Prompt diagnosis and surgical intervention, including splenectomy, were crucial for patient recovery.
Area of Science:
- Toxicology
- Emergency Medicine
- Surgical Pathology
Background:
- Venomous snakebites can lead to severe systemic and coagulation disorders.
- Rarely, complications like compartment syndrome and hemoperitoneum necessitate surgical intervention.
Observation:
- A 54-year-old male presented with delayed splenic rupture and hemoperitoneum 5 days after an unidentified snakebite.
- Initial symptoms improved after antivenom, but delayed rupture occurred 2 days post-discharge.
Findings:
- Diagnostic imaging revealed significant intraperitoneal fluid and splenic rupture.
- Histopathology showed splenic lacerations and hemorrhage, confirming traumatic injury.
- The patient required blood transfusion, antivenom, and emergency splenectomy.
Implications:
- This case highlights the potential for delayed splenic rupture as a rare complication of snake envenomation.
- Early recognition and aggressive management are vital for favorable outcomes in such unusual presentations.
- Further research into the mechanisms of snakebite-induced splenic injury is warranted.
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