title: Spontaneous rupture of a normal spleen following bronchoplastic left lung lower lobectomy.
abstract: Rupture of the spleen is a common event associated with trauma, infectious diseases, neoplasia and many systemic disorders affecting the reticuloendothelial system. A rare subtype of rupture occurring spontaneously and arising from a normal spleen was recognized as a distinct clinicopathologic entity. It has been reported in association with trivial insults such as vomiting and coughing. We report a case of a patient with spontaneous rupture of a normal spleen observed after severe coughing on the 3rd postoperative day following bronchoplastic left lung lower lobectomy combined with S4, S5 segmentectomy.
authors.affiliation: Department of Thoracic Surgery, Univerzitetni Klinicni Center Ljubljana, Zaloska 7, SI-1000 Ljubljana, Slovenia. tomaz.stupnik@kclj.si
authors.forename: Tomaz
authors.initials: T
authors.lastname: Stupnik
authors.forename: Stanko
authors.initials: S
authors.lastname: Vidmar
authors.forename: Petra
authors.initials: P
authors.lastname: Hari
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects; D001980:Bronchi / Q000601:surgery*; D003371:Cough / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects*; D012422:Rupture, Spontaneous; D012720:Severity of Illness Index; D012771:Shock, Hemorrhagic / Q000209:etiology; D013156:Splenectomy; D013161:Splenic Rupture / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography