Splenic Rupture Following Minor Trauma in a Young Man with Underlying Haemorrhagic Cyst in a Tertiary Victorian Hospital
Lei Ying* and Jeong-moh John Yahng
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Western Health, Victoria,
Tel : +61433707816
Received on: April 16, 2019, Accepted on: April 29, 2019, Published on: May 06, 2019
Citation: Lei Ying and Jeong-moh John Yahng (2019). Splenic Rupture Following Minor Trauma in a Young Man with Underlying Haemorrhagic Cyst in a Tertiary Victorian Hospital
Copyright: 2019 Lei Ying et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Rupture of benign splenic cysts following minor trauma are extremely uncommon and described only a handful of times in the literature. We describe a 20-year-old patient who initially presented 1 day after falling onto his back after slipping off a step with worsening abdominal pain and distension. Contrast-enhanced computed tomography scan of the abdomen and pelvis was performed which showed an enlarged spleen containing a large cystic lesion with posterior rupture and open communication to the peritoneal cavity. Multiple benign splenic epithelial cysts including the largest responsible for rupture was confirmed on pathology after a total splenectomy was performed. Although the majority of splenic cysts are asymptomatic, rupture can lead to acute peritoneal signs and mimic other significant causes of abdominal pain such as viscous injury or acute appendicitis.
Traumatic rupture, Splenectomy, Haemorrhagic Cysts