Spontaneous splenic vein rupture complicating liver cirrhosis: an autopsy case report

A 70-year-old woman, who had hepatitis-C related liver cirrhosis died suddenly. Autopsy showed a massive retroperitoneal hematoma and ruptured splenic vein, as well as densely bloody ascites. This suggested that chronic and unnoticed retroperitoneal leak from the ruptured vein preceded the acute and...

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Veröffentlicht in:Nippon Shokakibyo Gakkai Zasshi 2013, Vol.110(3), pp.426-431
Hauptverfasser: OKUBO, Satoshi, KIRIYAMA, Kazuo, USUI, Takeo, TAKEMURA, Tadaharu, IKEDA, Kouichiro, KANAYAMA, Yoshio
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container_issue 3
container_start_page 426
container_title Nippon Shokakibyo Gakkai Zasshi
container_volume 110
creator OKUBO, Satoshi
KIRIYAMA, Kazuo
USUI, Takeo
TAKEMURA, Tadaharu
IKEDA, Kouichiro
KANAYAMA, Yoshio
description A 70-year-old woman, who had hepatitis-C related liver cirrhosis died suddenly. Autopsy showed a massive retroperitoneal hematoma and ruptured splenic vein, as well as densely bloody ascites. This suggested that chronic and unnoticed retroperitoneal leak from the ruptured vein preceded the acute and fatal outcome of the intra-abdominal bleeding. Spontaneous rupture of the splenic vein is rarely reported in liver cirrhosis despite the presence of portal hypertension. This rare association is discussed with a literature review.
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subjects Aged
Autopsy
Female
Humans
Liver Cirrhosis - complications
Rupture, Spontaneous
Splenic Vein - pathology
title Spontaneous splenic vein rupture complicating liver cirrhosis: an autopsy case report
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