Nescient aetiology of splenic laceration – An enigma unveiled

Saraswathy Sreeram, Hanaganahalli B. Sridevi, Urmila N. Khadilkar, Deepa Adiga

Research output: Contribution to journalArticle

Abstract

Malaria is a common endemic disease prevalent in developing countries like India that presents with wide spectrum of clinical symptoms and complications. Splenic rupture is an uncommon but life-threatening complication which can be either spontaneous or as a result of trauma. We present a case of 50-year-old man with left upper quadrant pain following a polytrauma. Based on the radiological evidence of laceration and rupture of markedly enlarged spleen, emergency splenectomy was performed. Postoperative haematological evaluation established the co-infection of Plasmodium falciparum and vivax with high parasitaemia and marked thrombocytosis. The incidences of splenic rupture due to malaria are under-reported. In endemic areas, the management of splenic rupture in malaria should be focused on splenic preservation, thereby reducing the risk of future attacks of malaria in those patients who are highly susceptible to Plasmodium species and also reducing the incidence of overwhelming sepsis.

Original languageEnglish
Pages (from-to)ED01-ED02
JournalJournal of Clinical and Diagnostic Research
Volume10
Issue number3
DOIs
Publication statusPublished - 01-03-2016

All Science Journal Classification (ASJC) codes

  • Medicine(all)
  • Clinical Biochemistry

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