Spontaneous rupture of the spleen following abdominal hysterectomy

D Habek, Cerkez Habek J, J Cerkez Habek
Zentralblatt für Gynäkologie · 2001 · vol. 123(10) , pp. 588–9 · doi:10.1055/s-2001-19086 · PMID:11753814
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This case report describes spontaneous splenic rupture occurring after abdominal hysterectomy in a patient with adenomyosis, severe sideropenic anemia, and initiated anticoagulant therapy.

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This case report describes a rare instance of spontaneous splenic rupture occurring after an abdominal hysterectomy in a patient with adenomyosis, severe sideropenic anemia, and concurrent anticoagulant therapy using low molecular heparin. The authors highlight the complex interplay between the underlying gynecological condition, hematologic status, and pharmacological intervention as potential contributing factors to this acute abdominal event. While the primary clinical focus remains on the surgical complication and its management, the patient's history of adenomyosis is explicitly noted as part of the clinical presentation. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

The authors described a rare case of spontaneous splenic rupture following abdominal hysterectomy in a patient with adenomyosis, severe sideropenic anemia and initiated anticoagulant therapy with low molecular heparin.
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Subscribe to RSS DOI: 10.1055/s-2001-19086 J.A.Barth Verlag in Medizinverlage Heidelberg GmbH & Co.KG Spontaneous rupture of the spleen following abdominal hysterectomy Spontane Milzruptur nach abdomineller HysterektomiePublication History Publication Date: 18 December 2001 (online) Summary The autors described a rare case of spontaneous splenic rupture following abdominal hysterectomy in a patient with adenomyosis, severe sideropenic anemia and initiated anticoagulant therapy with low molecular heparin. Spontane Milzruptur nach abdomineller Hysterektomie Zusammenfassung Die Autoren beschreiben einen seltenen Fall von spontaner Milzruptur nach einer abdominellen Hysterektomie bei einer Patientin, die Adenomyose und schwere sideropenische Anämie aufwies und bei der eine Antikoagulanztherapie mit niedrigmolekularem Heparin bereits eingeleitet worden war. Key words Abdomen - acute - spleen rupture - spontaneous - anemia - sideropenic - anticoagulant therapy Schlüsselwörter Akutes Abdomen - spontane Milzruptur - sideropenische Anämie - Antikoagulanztherapie References - 1 Butler A G. The coagulation and fibrinolytic response to splenectomy. Surg Gynecol Obstet. 1976; 142 731-733 - 2 Chassin J L. Operative Strategy in general Surgery. Springer, New York, Heidelberg, Berlin 1980; 278 - 3 Ellison E H. Spontaneous rupture of the diseaed spleen. Arch Surg. 1949; 59 299-301 - 4 Jabbour M, Tohme C, Ingea H, Farah P. Spontaneous spleic rupture due to heparin. Report of a case and review of the literature. J Med Liban. 1995; 43 107-109 - 5 Klinkert P, Kluit A B, de Vries A C, Puylaert J B. Spontaneous rupture of the spleen: role of ultrasound in diagnosis, treatment and monitoring. Eur J Surg. 1999; 165 712-713 - 6 Neumann J, Ambrosius C, Zirngibl H. Spontaneous splenic rupture with diffused angiomatosis of the spleen. Chirurg. 1999; 70 800-802 - 7 Schiodt I, Duun E, Fischer T K, Christiansen A P, Ralfkiaer E. Fatal rupture of the spleen caused by infiltration of T-cell lymphoma. Ann Hematol. 2000; 79 158-160 - 8 Tamarit Garcia J J, Boluda Garcia F, Calvo Catala J, Campos Fernandez C, Parra Rodenas J V, Gonzales Cruz M I, Herrera Ballester A. Spontaneous splenic rupture as a unusual presentation of primary amyloidosis. Rev Esp Enferm Dig. 1999; 91 653-654 - 9 Weiss S J, Smith T, Laurin E, Wisner D H. Spontaneous splenic rupture due to subcutaneous heparin therapy. J Emerg Med. 2000; 18 421-426 MD. PhD. Dubravko Habek Bjelovar Health Centre Mihanovićeva 8 HR-43000 Bjelovar Croatia Email: [email protected]

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Endometrial Hyperplasia Endometriosis Hysterectomy Hysterectomy Postoperative Complications Splenic Rupture Adult Adult Anemia, Iron-Deficiency Anemia, Iron-Deficiency Anemia, Iron-Deficiency Diagnosis, Differential Diagnosis, Differential Endometrial Hyperplasia Endometrial Hyperplasia Endometriosis Endometriosis Female Female Humans

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