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Spontaneous splenic hematoma secondary to dengue infection: a rare case report
Dengue infection may have various surgical complications. Splenic hematoma is a rare complication of dengue hemorrhagic fever and may be life-threatening. Case PresentationA 54-year-old male, diagnosed with dengue infection detected at another hospital, presented on the 10th day of fever with left u...
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| Published in: | Annals of medicine and surgery (2012) 2023, Vol.85 (4), p.1030-1033 |
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| Main Authors: | , , , , , |
| Format: | Report |
| Language: | English |
| Online Access: | Get full text |
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| Summary: | Dengue infection may have various surgical complications. Splenic hematoma is a rare complication of dengue hemorrhagic fever and may be life-threatening. Case PresentationA 54-year-old male, diagnosed with dengue infection detected at another hospital, presented on the 10th day of fever with left upper abdominal pain for 7 days without history of trauma. Urgent ultrasonography of the abdomen revealed findings suggestive of a splenic subcapsular hematoma, which was confirmed by computed tomography scan. The grade II splenic hematoma was being managed conservatively. Unfortunately, the patient developed hospital acquired pneumonia and died from septic shock. Clinical DiscussionHemorrhagic manifestations are seen in the febrile and critical phase of dengue, but the spleen is infrequently involved. Splenic hematoma can lead to splenic rupture, which can be rapidly fatal. Specific treatment guidelines of such hematomas are needed in the context of dengue infection, as the treatment modality is controversial. ConclusionPatients must be carefully evaluated for the complications and surgical manifestations of dengue as abdominal pain and hypotension from splenic hematoma may be misinterpreted as components of dengue hemorrhagic fever and dengue shock syndrome. |
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| ISSN: | 2049-0801 2049-0801 |
| DOI: | 10.1097/MS9.0000000000000312 |