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.
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.
Subjects | Surgery |
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Journal Section | Case report |
Authors |
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Publication Date | August 20, 2017 |
Published in Issue | Year 2017, Volume 1, Issue 2 |
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 <https://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. |
IEEE | A. Topçu and F. Başak , "Splenic trauma in a patient with portal hypertension and splenomegaly: A case report", Journal of Surgery and Medicine, vol. 1, no. 2, pp. 38-39, Aug. 2017, doi:10.28982/josam.344391 |