POST HYSTERECTOMY SPONTANEOUS RUPTURE OF SPLEEN
AbstractSpontaneous rupture of spleen is a rare entity in the world of obstetrics and gynaecology. Theobstetricians-gynaecologist has to confront with ruptured spleen sometimes in their practice.Ruptured spleen is not uncommon in trauma and some surgical procedures in upper abdomen.Splenic rupture after hysterectomy is exceedingly rare occurrence. However it should beconsidered as part of diagnostic workup in any unstable post hysterectomy subject with highdegree of suspicion along with other differential diagnosis. Early reorganisation of this potentiallylife-threatening complication is very important for the wellbeing of patient and carries medicolegal significance as well. We are reporting fourth case of spontaneous rupture spleen afterabdominal hysterectomy found in the literature along with literature review and update on thetopic regarding its diagnostic criteria.Keywords: Spontaneous rupture, rupture, spleen, complications, hysterectomy, post hysterectomy
Ralph L. Hoffman. Rupture of spleen. Transactions of the Pacific
Coast Obstetrical and Gynecological Socieyt 1971;39(0):99–103.
Skalba H and Martula M. Spontaneous rupture of spleen after
hysterectomy. Ginekol Pol 1975;46(3):309–11.
Heirenreich W and Malasowsky B. Spontaneous splenic rupture
as a cause of postoperative haemorrhage. Geburtshilfe
H Scott Bjerke. 2006; Splenic Rupture.
http://www.emedicine.com/Med/topic2792.htm. [Accessed on
Atkinson E. Death from idiopathic rupture of normal spleen.
Edgard W, Syed R, and Duane O. Spontaneous splenic rupture
precipitated by cough: case report and literature review. Scand. J
Orloff MJ and Peskin GW. Spontaneous rupture of normal
spleen: A surgical enigma. International Abstracts of Surgery
Crate MD and Payne CMJ. Is the diagnosis of spontaneous
rupture of normal spleen valid? Journal of the Royal Army
Medical Corps 1991;137:50–1.
Farhi DC and Ashfaq R. Splenic pathology after traumatic injury.
Am J Clin Pathol 1996;105:474–8.
Kinamanesh R, Anguirre HI, Enjuame F, Valverde A, Brugière
O, Vacher B, et al. Spontaneous splenic rupture: report of three
new cases and review of literature. Ann Chir 2003;128:303–9.
Choudhury A K. Spontaneous rupture of a normal spleen.
Internat J of Care of the injured 2004;35:325–6.
Jeffery RB, Lainng FC, and Federle MR. Computed tomography
of splenic trauma. Radiology. 1981;141:729.