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 |
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container_title | Nippon Shokakibyo Gakkai Zasshi |
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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. |
doi_str_mv | 10.11405/nisshoshi.110.426 |
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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. 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This rare association is discussed with a literature review.</description><subject>Aged</subject><subject>Autopsy</subject><subject>Female</subject><subject>Humans</subject><subject>Liver Cirrhosis - complications</subject><subject>Rupture, Spontaneous</subject><subject>Splenic Vein - pathology</subject><issn>0446-6586</issn><issn>1349-7693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LAzEQhoMottT-AQ-So5etyeZjN96k1A8oeNCeQzY726bsl0m20H_vYmsvMwzvwwzzIHRPyYJSTsRT60LYdWHnxpkseCqv0JQyrpJMKnaNpoRzmUiRywmah-AKQogSKmfsFk1SxoUSLJuizVfftdG00A0Bh76G1ll8ANdiP_Rx8IBt1_S1sya6dotrdwCPrfN-PO3CMzYtNkPs-nDE1gTAHvrOxzt0U5k6wPzcZ2jzuvpevifrz7eP5cs62adcxCSnMidADVialkykuVWcVsIUUJTESkZZluY8BZExKxUtKzrGlbWZqSqRGsZm6PG0t_fdzwAh6sYFC3V9ekhTRnmumKJqRB_O6FA0UOreu8b4o_5XMQKrE7AP0WzhAhgfna1BX3zr0bdmf3W0fsntzngNLfsFLOB-Tg</recordid><startdate>201303</startdate><enddate>201303</enddate><creator>OKUBO, Satoshi</creator><creator>KIRIYAMA, Kazuo</creator><creator>USUI, Takeo</creator><creator>TAKEMURA, Tadaharu</creator><creator>IKEDA, Kouichiro</creator><creator>KANAYAMA, Yoshio</creator><general>The Japanese Society of Gastroenterology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201303</creationdate><title>Spontaneous splenic vein rupture complicating liver cirrhosis: an autopsy case report</title><author>OKUBO, Satoshi ; KIRIYAMA, Kazuo ; USUI, Takeo ; TAKEMURA, Tadaharu ; IKEDA, Kouichiro ; KANAYAMA, Yoshio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j245t-81680e1aec12d3528c941f5abebd0c631372842e573c691df141ffcc7aff52a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Autopsy</topic><topic>Female</topic><topic>Humans</topic><topic>Liver Cirrhosis - complications</topic><topic>Rupture, Spontaneous</topic><topic>Splenic Vein - pathology</topic><toplevel>online_resources</toplevel><creatorcontrib>OKUBO, Satoshi</creatorcontrib><creatorcontrib>KIRIYAMA, Kazuo</creatorcontrib><creatorcontrib>USUI, Takeo</creatorcontrib><creatorcontrib>TAKEMURA, Tadaharu</creatorcontrib><creatorcontrib>IKEDA, Kouichiro</creatorcontrib><creatorcontrib>KANAYAMA, Yoshio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OKUBO, Satoshi</au><au>KIRIYAMA, Kazuo</au><au>USUI, Takeo</au><au>TAKEMURA, Tadaharu</au><au>IKEDA, Kouichiro</au><au>KANAYAMA, Yoshio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous splenic vein rupture complicating liver cirrhosis: an autopsy case report</atitle><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle><addtitle>Nippon Shokakibyo Gakkai Zasshi</addtitle><date>2013-03</date><risdate>2013</risdate><volume>110</volume><issue>3</issue><spage>426</spage><epage>431</epage><pages>426-431</pages><issn>0446-6586</issn><eissn>1349-7693</eissn><abstract>A 70-year-old woman, who had hepatitis-C related liver cirrhosis died suddenly. 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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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