Atraumatic Splenic Rupture: A Recondite Corollary to Dengue Fever

Dr. Mohit Kumar Badgurjar; Dr. Pankaj Saxena; Geetika Milind Khachane

Volume : VII, Issue : XI, November - 2018

Atraumatic Splenic Rupture: A Recondite Corollary to Dengue Fever

Dr. Mohit Kumar Badgurjar, Dr. Pankaj Saxena, Geetika Milind Khachane

Abstract :

Splenic rupture can be divided into 3 main categories: traumatic, Atraumatic and true spontaneous.¹Atraumatic splenic rupture is a rare but dramatic occurrence and deciphering the etiology can be challenging with many cases remaining unclear despite full investigation.² In these patients, making a firm diagnosis of splenic rupture and investigating the cause of rupture can present challenges.¹ Its diagnosis is most often established with ultrasonography or computed tomography (CT) abdominal imaging.² We discuss here the case of a 19 yr. old male patient with acute abdominal pain and prostration, with a background of intermittent fever of 4–5 days. He showed severe pallor, tachycardia, and tachypnea, generalized tenderness over abdomen without any guarding or rigidity. Ascites was present with no hepatosplenomegaly. The subsequent radiological and blood investigations showed a splenic laceration with positive IgM antibodies and negative IgG antibodies against dengue. The patient was counseled to undergo splenectomy in view of his hemodynamic status.