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KMID : 0882420190940050526
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Korean Journal of Medicine
2019 Volume.94 No. 5 p.526 ~ p.529
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Spontaneous Splenic Rupture in a Peritoneal Dialysis Patient
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Lee Sang-Hee
Lee Dong-Young
Moon Kyoung-Hyoub
Kim Hyeon-Jeong
Lee Mi-Ji
Kim Hui-Seo
Kim Beom
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Abstract
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Atraumatic splenic rupture (ASR) in a patient undergoing peritoneal dialysis (PD) is uncommon, but can be life-threatening. According to recent systematic reviews, the major causes of ASR are 1) neoplastic (30.3%), 2) infectious (27.3%), 3) non-infectious inflammatory (20.0%), 4) iatrogenic (9.2%), 5) mechanical (6.8%), and 6) idiopathic (6.4%). It is diagnosed by imaging studies, most commonly ultrasonography and computed tomography (CT). Due to its rarity, the early diagnosis of ASR is difficult, and no standard treatment has been described. Here, we report a case of idiopathic ASR in a patient undergoing PD. The diagnosis was established by abdominal CT scan, and splenectomy was performed. Thus, hemoperitoneum in a PD patient should raise suspicion of ASR. Early diagnosis and appropriate treatment will lead to a better outcome.
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KEYWORD
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Hemoperitoneum, Atraumatic splenic rupture, Peritoneal dialysis
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