title: Spontaneous rupture of the spleen in type IV Ehlers-Danlos syndrome: report of a case.
abstract: The vascular type of Ehlers-Danlos syndrome, type IV, is associated with severe complications, including arterial rupture and visceral perforation. However, to our knowledge, there has been only one previous report of splenic rupture caused by a spontaneous hemorrhage in type IV Ehlers-Danlos syndrome. We report another case of this uncommon complication, occurring in a 35-year-old woman who presented after the sudden onset of acute abdominal pain. Patients should be stabilized quickly in the intensive care unit and the most timesaving surgical techniques used. Moreover, tissues must be handled with great care intraoperatively in view of their extreme fragility. Despite prompt and appropriate treatment, the prognosis is often dismal.
authors.affiliation: Department of Surgery, University College London Hospitals, 2b Maple House, 235 Euston Road, London, NW1 2BU, UK.
authors.forename: Antonio
authors.initials: A
authors.lastname: Privitera
authors.forename: Chaz
authors.initials: C
authors.lastname: Milkhu
authors.forename: Vivek
authors.initials: V
authors.lastname: Datta
authors.forename: Mazim
authors.initials: M
authors.lastname: Sayegh
authors.forename: Richard
authors.initials: R
authors.lastname: Cohen
authors.forename: Alastair
authors.initials: A
authors.lastname: Windsor
mesh_terms: D000006:Abdomen, Acute / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000209:etiology / Q000628:therapy; D004535:Ehlers-Danlos Syndrome / Q000150:complications* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D011859:Radiography; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D013161:Splenic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery