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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
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Spleen rupture due to brucellosis
Orhan Yağmurkaya1, Serhat Oğuz2, Eyüp Kahya3
1Clinic of General Surgery, Sakarya University Training and Research Hospital, Sakarya, Turkey.
Turkish Journal of Surgery
|September 29, 2021
Summary
Brucellosis, a zoonotic infection, can cause spontaneous spleen rupture, a rare but serious complication. This case highlights the importance of considering infectious causes in patients with sudden abdominal pain and hypovolemia.
Area of Science:
- Infectious Diseases
- Surgical Pathology
Background:
- Brucellosis is a prevalent zoonotic infection caused by Brucella species, endemic in regions like Turkey, affecting both humans and animals.
- Spleen involvement in Brucellosis can lead to splenomegaly, and spontaneous rupture of the spleen is a rare but recognized complication, often linked to infectious etiologies.
Observation:
- A 52-year-old male patient presented with symptoms suggestive of Brucella endocarditis.
- The patient developed sudden severe abdominal pain, nausea, vomiting, and vertigo, with physical examination revealing abdominal tenderness, guarding, and rebound.
- Emergency abdominal tomography confirmed a ruptured spleen with significant intra-abdominal hemorrhage.
Findings:
- Surgical exploration revealed multiple lacerations of the spleen capsule.
- The patient successfully underwent splenectomy and had an uncomplicated postoperative recovery.
Implications:
- Spontaneous spleen rupture is an uncommon but critical condition that necessitates consideration in internal medicine settings.
- Clinicians should maintain a high index of suspicion for spontaneous spleen rupture in patients presenting with acute abdominal pain and signs of hypovolemia, especially those with underlying infectious, hematogenic, or metabolic conditions.
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