title: Fatal splenic laceration in a young woman caused by idiopathic isolated splenic vein thrombosis.
abstract: A 38-year-old woman died of hemorrhagic shock caused by idiopathic bleeding in the abdominal cavity. At autopsy, more than 5,000 mL hemoperitoneum was detected. There was no remarkable bleeding site except for a small tear in the surface of the spleen. Microscopic examination suggested that isolated splenic vein thrombosis induced coagulative necrosis of the spleen and subsequently caused splenic laceration. Whenever a case of hemoperitoneum is encountered, splenic rupture should be included in the differential diagnosis; it is imperative to manage such cases as promptly as possible.
authors.affiliation: Department of Cardiovascular Medicine, Nantan General Hospital, Nantan. t2-ya@za2.so-net.ne.jp
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Nomura
authors.forename: Natsuya
authors.initials: N
authors.lastname: Keira
authors.forename: Yota
authors.initials: Y
authors.lastname: Urakabe
authors.forename: Daisuke
authors.initials: D
authors.lastname: Naito
authors.forename: Satoko
authors.initials: S
authors.lastname: Enomoto
authors.forename: Susumu
authors.initials: S
authors.lastname: Nishikawa
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Matsubara
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tatsumi
mesh_terms: D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D013161:Splenic Rupture / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D013162:Splenic Vein / Q000473:pathology*; D020246:Venous Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology