Year 2017, Volume 1 , Issue 2, Pages 38 - 39 2017-08-20

Splenic trauma in a patient with portal hypertension and splenomegaly: A case report
Portal hipertansiyon ve splenomegali olan bir hastada dalak travması: Olgu sunumu

Ahmet TOPÇU [1] , Fatih BAŞAK [2]


The spleen is the most commonly injured organ in cases of blunt abdominal trauma. Currently, 50-80% of adults with blunt splenic injuries are treated nonoperatively. In this report, we present a blunt abdominal trauma patient having a history of portal hypertension and splenomegaly. In grade 3 and even grade 4 splenic injuries non-operative treatment is recommended in current literature. Management of splenic trauma with a patient with history of splenomegaly and portal hypertension is insufficiently discussed in literature. In presented case, hypersplenism and portal hypertension were burden on hemostasis. Even with massive resuscitation, thrombocyte level decreased to 40.000/mm³ after five hours. But, insistence on non-operative treatment in this situation could be fatal.  

Dalak, künt abdominal travma vakalarının en sık yaralanan organıdır. Son zamanlarda künt dalak yaralanmaları olan yetişkinlerin %50-80'i ameliyatsız olarak tedavi edilmektedir. Bu raporda, portal hipertansiyon ve splenomegali öyküsü olan künt bir abdominal travma hastası sunuyoruz. Grade 3 ve hatta grade 4 dalak yaralanmalarında, mevcut literatürde non-operatif tedavi tavsiye edilmektedir. Splenomegali ve portal hipertansiyon öyküsüne sahip bir hasta ile dalak travması yönetimi literatürde yeterince tartışılmamaktadır. Sunulan olguda, hipersplenizm ve portal hipertansiyon hemostaz üzerindeki etkileri görülmektedir. Masif resusitasyon ile bile, beş saat sonra trombosit seviyesi 40.000/mm³’e azalmıştır. Ancak, bu durumda non-operatif tedavide ısrar etmek ölümcül olabilir.

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Subjects Surgery
Journal Section Case report
Authors

Author: Ahmet TOPÇU
Country: Turkey


Author: Fatih BAŞAK

Dates

Publication Date : August 20, 2017

Bibtex @case report { josam344391, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2017}, volume = {1}, pages = {38 - 39}, doi = {10.28982/josam.344391}, title = {Splenic trauma in a patient with portal hypertension and splenomegaly: A case report}, key = {cite}, author = {Topçu, Ahmet and Başak, Fatih} }
APA Topçu, A , Başak, F . (2017). Splenic trauma in a patient with portal hypertension and splenomegaly: A case report . Journal of Surgery and Medicine , 1 (2) , 38-39 . DOI: 10.28982/josam.344391
MLA Topçu, A , Başak, F . "Splenic trauma in a patient with portal hypertension and splenomegaly: A case report" . Journal of Surgery and Medicine 1 (2017 ): 38-39 <http://jsurgmed.com/en/pub/issue/31222/344391>
Chicago Topçu, A , Başak, F . "Splenic trauma in a patient with portal hypertension and splenomegaly: A case report". Journal of Surgery and Medicine 1 (2017 ): 38-39
RIS TY - JOUR T1 - Splenic trauma in a patient with portal hypertension and splenomegaly: A case report AU - Ahmet Topçu , Fatih Başak Y1 - 2017 PY - 2017 N1 - doi: 10.28982/josam.344391 DO - 10.28982/josam.344391 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 38 EP - 39 VL - 1 IS - 2 SN - -2602-2079 M3 - doi: 10.28982/josam.344391 UR - https://doi.org/10.28982/josam.344391 Y2 - 2017 ER -
EndNote %0 Journal of Surgery and Medicine Splenic trauma in a patient with portal hypertension and splenomegaly: A case report %A Ahmet Topçu , Fatih Başak %T Splenic trauma in a patient with portal hypertension and splenomegaly: A case report %D 2017 %J Journal of Surgery and Medicine %P -2602-2079 %V 1 %N 2 %R doi: 10.28982/josam.344391 %U 10.28982/josam.344391
ISNAD Topçu, Ahmet , Başak, Fatih . "Splenic trauma in a patient with portal hypertension and splenomegaly: A case report". Journal of Surgery and Medicine 1 / 2 (August 2017): 38-39 . https://doi.org/10.28982/josam.344391
AMA Topçu A , Başak F . Splenic trauma in a patient with portal hypertension and splenomegaly: A case report. J Surg Med. 2017; 1(2): 38-39.
Vancouver Topçu A , Başak F . Splenic trauma in a patient with portal hypertension and splenomegaly: A case report. Journal of Surgery and Medicine. 2017; 1(2): 38-39.