Research Article

Diagnosis and Treatment of Atraumatic Splenic Rupture: Experience of 8 Cases

Table 1

Characteristics of 8 patients with ASR.

Patient numberSexAgePeritonitisShockHematocrit (%)USCECTSplenomegalyHematomaAAST classificationSurgical approachesEtiological factors

1M34YesYes31.7PosPosYesYesIIISplenectomyUnknown
2M52YesYes25.6NegNPYesNoIISplenectomy; repair of hepatic aneurysmUnknown
3F63NoNo39.2PosPosYesYesIIISplenectomyUnknown
4M63NoYes16.1NegPosYesYesIIISplenectomyAIP, anticoagulant
5M41YesYes20.2PosNegYesYesIVSplenectomy; left hemicolectomySplenic flexure colon tumor
6M37YesNo42.1NPPosYesYesIIISplenectomy; distal pancreatectomyChronic pancreatitis, hepatic cirrhosis
7M38NoNo33.1PosPosYesYesNMSubcapsular hematoma evacuation; pancreas biopsy (6 months later)Pancreatic cancer
8F69NoNo46.6NegPosYesYesIINPPolycythemia vera

Abbreviations: US—ultrasound; CECT—contrast-enhanced computed tomography; AAST—American Association for the Surgery of Trauma; Pos—positive, Neg—negative, NP—not performed; NM—not mentioned; AIP—autoimmune pancreatitis.