Spontaneous splenic rupture in a teenager as first manifestation of acute myeloid leukemia: Case report and literature review
Spontaneous splenic rupture is a well-known, but rare life-threatening complication of hematological malignancies. We describe the case of a 12-year-old boy with a 5-day history of fever and successively left upper quadrant abdominal pain and sudden clinical deterioration necessitating emergency spl...
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Edizioni FS
2018-11-01
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Series: | Journal of Health and Social Sciences |
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Online Access: | https://journalhss.com/wp-content/uploads/jhss33_297-302.pdf |
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author | Antonio Villa Simona Rossi Isabella Riva Cecilia Tedesco Francesca Maria Zanchettin Rinaldo Chiumento |
author_facet | Antonio Villa Simona Rossi Isabella Riva Cecilia Tedesco Francesca Maria Zanchettin Rinaldo Chiumento |
author_sort | Antonio Villa |
collection | DOAJ |
description | Spontaneous splenic rupture is a well-known, but rare life-threatening complication of hematological malignancies. We describe the case of a 12-year-old boy with a 5-day history of fever and successively left upper quadrant abdominal pain and sudden clinical deterioration necessitating emergency splenectomy.
On arrival, a blood dyscrasia was postoperatively confirmed as acute myeloid leukemia. Cases of atraumatic rupture in diseased spleens are widely reported and pathological rupture of the spleen is a rare, but well recognized complication in hematological malignancies. This case report represents a rare and fatal initial presentation of acute myeloid leukemia in an adolescent. Because of the rarity of atraumatic splenic rupture, a high index of clinical suspicion must be maintained in patients with left upper quadrant pain and abnormal differential count on peripheral blood smear. |
format | Article |
id | doaj-art-514d0c384aee45a5809effa98fb4bc1a |
institution | Kabale University |
issn | 2499-2240 2499-5886 |
language | English |
publishDate | 2018-11-01 |
publisher | Edizioni FS |
record_format | Article |
series | Journal of Health and Social Sciences |
spelling | doaj-art-514d0c384aee45a5809effa98fb4bc1a2025-01-18T18:20:30ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862018-11-013329730210.19204/2018//spnt3Spontaneous splenic rupture in a teenager as first manifestation of acute myeloid leukemia: Case report and literature reviewAntonio Villa0Simona Rossi1Isabella Riva2Cecilia Tedesco3Francesca Maria Zanchettin4Rinaldo Chiumento5M.D., Department of Emergency, ASST Monza, PO Desio, Monza, ItalyM.D., Department of Pediatrics, ASST Monza, PO Desio, Monza, ItalyM.D., Department of Emergency, ASST Monza, PO Desio, Monza, ItalyM.D., Department of Anesthesiology and Critical Care, ASST Monza, PO Desio, Monza, ItalyM.D., Department of Emergency, ASST Monza, PO Desio, Monza, ItalyM.D., Department of Radiology, ASST Monza, PO Desio, Monza, ItalySpontaneous splenic rupture is a well-known, but rare life-threatening complication of hematological malignancies. We describe the case of a 12-year-old boy with a 5-day history of fever and successively left upper quadrant abdominal pain and sudden clinical deterioration necessitating emergency splenectomy. On arrival, a blood dyscrasia was postoperatively confirmed as acute myeloid leukemia. Cases of atraumatic rupture in diseased spleens are widely reported and pathological rupture of the spleen is a rare, but well recognized complication in hematological malignancies. This case report represents a rare and fatal initial presentation of acute myeloid leukemia in an adolescent. Because of the rarity of atraumatic splenic rupture, a high index of clinical suspicion must be maintained in patients with left upper quadrant pain and abnormal differential count on peripheral blood smear.https://journalhss.com/wp-content/uploads/jhss33_297-302.pdfAcute myeloid leukemia; spontaneous splenic rupture; ultrasonography |
spellingShingle | Antonio Villa Simona Rossi Isabella Riva Cecilia Tedesco Francesca Maria Zanchettin Rinaldo Chiumento Spontaneous splenic rupture in a teenager as first manifestation of acute myeloid leukemia: Case report and literature review Journal of Health and Social Sciences Acute myeloid leukemia; spontaneous splenic rupture; ultrasonography |
title | Spontaneous splenic rupture in a teenager as first manifestation of acute myeloid leukemia: Case report and literature review |
title_full | Spontaneous splenic rupture in a teenager as first manifestation of acute myeloid leukemia: Case report and literature review |
title_fullStr | Spontaneous splenic rupture in a teenager as first manifestation of acute myeloid leukemia: Case report and literature review |
title_full_unstemmed | Spontaneous splenic rupture in a teenager as first manifestation of acute myeloid leukemia: Case report and literature review |
title_short | Spontaneous splenic rupture in a teenager as first manifestation of acute myeloid leukemia: Case report and literature review |
title_sort | spontaneous splenic rupture in a teenager as first manifestation of acute myeloid leukemia case report and literature review |
topic | Acute myeloid leukemia; spontaneous splenic rupture; ultrasonography |
url | https://journalhss.com/wp-content/uploads/jhss33_297-302.pdf |
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