Spontaneous splenic rupture in a hemodialysis patient.
Spontaneous splenic rupture (SSR) in a patient undergoing hemodialysis has been described as an extremely rare and potentially fatal complication. We report here spontaneous splenic rupture in a 52-year-old woman undergoing regular hemodialysis for end-stage renal disease (ESRD). She complained of colicky abdominal pain in the left upper quadrant area and dizziness when she assumed an upright posture. Her vital signs revealed low blood pressure and tachycardia, which was suggestive of hypovolemic shock. Abdomen CT scan showed splenic hematoma and hemoperitoneum. However, she had no history of any event triggering the splenic rupture. An exploratory laparotomy showed a ruptured spleen and an emergency splenectomy was performed. We suggest that spontaneous spleen rupture may be attributed to uremic coagulopathy and heparin-induced coagulopathy.
Department of Internal Medicine, Eulji University, Daejeon, Korea.
Hyun Jung
HJ
Kim
Gyeong Won
GW
Lee
Dong Jun
DJ
Park
Jong Deog
JD
Lee
Se Ho
SH
Chang
D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008875:Middle Aged; D006435:Renal Dialysis; D012422:Rupture, Spontaneous; D013154:Spleen / Q000473:pathology*; D013158:Splenic Diseases / Q000150:complications* / Q000473:pathology*