Fatal Splenic Laceration in a Young Woman Caused by Idiopathic Isolated Splenic Vein Thrombosis
A 38-year-old woman died of hemorrhagic shock caused by idiopathic bleeding in the abdominal cavity. At autopsy, more than 5,000 mL hemoperitoneum was detected. There was no remarkable bleeding site except for a small tear in the surface of the spleen. Microscopic examination suggested that isolated...
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| Veröffentlicht in: | Internal Medicine 2009, Vol.48(11), pp.907-910 |
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| container_title | Internal Medicine |
| container_volume | 48 |
| creator | Nomura, Tetsuya Keira, Natsuya Urakabe, Yota Naito, Daisuke Enomoto, Satoko Nishikawa, Susumu Matsubara, Hiroaki Tatsumi, Tetsuya |
| description | A 38-year-old woman died of hemorrhagic shock caused by idiopathic bleeding in the abdominal cavity. At autopsy, more than 5,000 mL hemoperitoneum was detected. There was no remarkable bleeding site except for a small tear in the surface of the spleen. Microscopic examination suggested that isolated splenic vein thrombosis induced coagulative necrosis of the spleen and subsequently caused splenic laceration. Whenever a case of hemoperitoneum is encountered, splenic rupture should be included in the differential diagnosis; it is imperative to manage such cases as promptly as possible. |
| doi_str_mv | 10.2169/internalmedicine.48.1843 |
| format | Article |
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At autopsy, more than 5,000 mL hemoperitoneum was detected. There was no remarkable bleeding site except for a small tear in the surface of the spleen. Microscopic examination suggested that isolated splenic vein thrombosis induced coagulative necrosis of the spleen and subsequently caused splenic laceration. Whenever a case of hemoperitoneum is encountered, splenic rupture should be included in the differential diagnosis; it is imperative to manage such cases as promptly as possible.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.48.1843</identifier><identifier>PMID: 19483359</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Adult ; Fatal Outcome ; Female ; hemoperitoneum ; Humans ; splenic laceration ; Splenic Rupture - diagnosis ; Splenic Rupture - etiology ; Splenic Rupture - pathology ; Splenic Vein - pathology ; splenic vein thrombosis ; Venous Thrombosis - complications ; Venous Thrombosis - diagnosis ; Venous Thrombosis - pathology</subject><ispartof>Internal Medicine, 2009, Vol.48(11), pp.907-910</ispartof><rights>2009 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c582t-8a652963da43519ef7b0d842dd2456d48306b6ab3ab70c6da5b8386e73d428773</citedby><cites>FETCH-LOGICAL-c582t-8a652963da43519ef7b0d842dd2456d48306b6ab3ab70c6da5b8386e73d428773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19483359$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nomura, Tetsuya</creatorcontrib><creatorcontrib>Keira, Natsuya</creatorcontrib><creatorcontrib>Urakabe, Yota</creatorcontrib><creatorcontrib>Naito, Daisuke</creatorcontrib><creatorcontrib>Enomoto, Satoko</creatorcontrib><creatorcontrib>Nishikawa, Susumu</creatorcontrib><creatorcontrib>Matsubara, Hiroaki</creatorcontrib><creatorcontrib>Tatsumi, Tetsuya</creatorcontrib><title>Fatal Splenic Laceration in a Young Woman Caused by Idiopathic Isolated Splenic Vein Thrombosis</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 38-year-old woman died of hemorrhagic shock caused by idiopathic bleeding in the abdominal cavity. At autopsy, more than 5,000 mL hemoperitoneum was detected. There was no remarkable bleeding site except for a small tear in the surface of the spleen. Microscopic examination suggested that isolated splenic vein thrombosis induced coagulative necrosis of the spleen and subsequently caused splenic laceration. Whenever a case of hemoperitoneum is encountered, splenic rupture should be included in the differential diagnosis; it is imperative to manage such cases as promptly as possible.</description><subject>Adult</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>hemoperitoneum</subject><subject>Humans</subject><subject>splenic laceration</subject><subject>Splenic Rupture - diagnosis</subject><subject>Splenic Rupture - etiology</subject><subject>Splenic Rupture - pathology</subject><subject>Splenic Vein - pathology</subject><subject>splenic vein thrombosis</subject><subject>Venous Thrombosis - complications</subject><subject>Venous Thrombosis - diagnosis</subject><subject>Venous Thrombosis - pathology</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkM1uEzEUhS0EomnhFZB3rCb4b8b2EkW0RIrKggJiZd2xncbVjB1sz6Jvj6uEIiE2x5L9nXOvD0KYkjWjg_4QYvU5wjR7F2yIfi3UmirBX6AV5UJ3kvH-JVoRTVXHmlygy1IeCOFKavYaXVAtFOe9XiFzDRUm_PU4-Rgs3oH1GWpIEYeIAf9MS7zHP9IMEW9gKd7h8RFvXUhHqIdm2JY0QW3XfxK--2a8O-Q0j6mE8ga92sNU_NvzeYW-XX-623zudl9utpuPu872itVOwdAzPXAHgvdU-70ciVOCOcdEP7i2LRnGAUYOoyR2cNCPiqvBS-4EU1LyK_T-lHvM6dfiSzVzKNZPE0SflmIk56z9mvNGqhNpcyol-7055jBDfjSUmKd2zb_tGqHMU7vN-u48ZBnb41_juc4G3J6Ah1Lh3j8DkGuwk_9_Mj2rJvIZtAfIxkf-G_fFmDM</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Nomura, Tetsuya</creator><creator>Keira, Natsuya</creator><creator>Urakabe, Yota</creator><creator>Naito, Daisuke</creator><creator>Enomoto, Satoko</creator><creator>Nishikawa, Susumu</creator><creator>Matsubara, Hiroaki</creator><creator>Tatsumi, Tetsuya</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090101</creationdate><title>Fatal Splenic Laceration in a Young Woman Caused by Idiopathic Isolated Splenic Vein Thrombosis</title><author>Nomura, Tetsuya ; Keira, Natsuya ; Urakabe, Yota ; Naito, Daisuke ; Enomoto, Satoko ; Nishikawa, Susumu ; Matsubara, Hiroaki ; Tatsumi, Tetsuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c582t-8a652963da43519ef7b0d842dd2456d48306b6ab3ab70c6da5b8386e73d428773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>hemoperitoneum</topic><topic>Humans</topic><topic>splenic laceration</topic><topic>Splenic Rupture - diagnosis</topic><topic>Splenic Rupture - etiology</topic><topic>Splenic Rupture - pathology</topic><topic>Splenic Vein - pathology</topic><topic>splenic vein thrombosis</topic><topic>Venous Thrombosis - complications</topic><topic>Venous Thrombosis - diagnosis</topic><topic>Venous Thrombosis - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nomura, Tetsuya</creatorcontrib><creatorcontrib>Keira, Natsuya</creatorcontrib><creatorcontrib>Urakabe, Yota</creatorcontrib><creatorcontrib>Naito, Daisuke</creatorcontrib><creatorcontrib>Enomoto, Satoko</creatorcontrib><creatorcontrib>Nishikawa, Susumu</creatorcontrib><creatorcontrib>Matsubara, Hiroaki</creatorcontrib><creatorcontrib>Tatsumi, Tetsuya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nomura, Tetsuya</au><au>Keira, Natsuya</au><au>Urakabe, Yota</au><au>Naito, Daisuke</au><au>Enomoto, Satoko</au><au>Nishikawa, Susumu</au><au>Matsubara, Hiroaki</au><au>Tatsumi, Tetsuya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fatal Splenic Laceration in a Young Woman Caused by Idiopathic Isolated Splenic Vein Thrombosis</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>48</volume><issue>11</issue><spage>907</spage><epage>910</epage><pages>907-910</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 38-year-old woman died of hemorrhagic shock caused by idiopathic bleeding in the abdominal cavity. At autopsy, more than 5,000 mL hemoperitoneum was detected. There was no remarkable bleeding site except for a small tear in the surface of the spleen. Microscopic examination suggested that isolated splenic vein thrombosis induced coagulative necrosis of the spleen and subsequently caused splenic laceration. Whenever a case of hemoperitoneum is encountered, splenic rupture should be included in the differential diagnosis; it is imperative to manage such cases as promptly as possible.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>19483359</pmid><doi>10.2169/internalmedicine.48.1843</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | J-STAGE Free; MEDLINE |
| subjects | Adult Fatal Outcome Female hemoperitoneum Humans splenic laceration Splenic Rupture - diagnosis Splenic Rupture - etiology Splenic Rupture - pathology Splenic Vein - pathology splenic vein thrombosis Venous Thrombosis - complications Venous Thrombosis - diagnosis Venous Thrombosis - pathology |
| title | Fatal Splenic Laceration in a Young Woman Caused by Idiopathic Isolated Splenic Vein Thrombosis |
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