BV, a 63 y.o. man was hospitalized in our Department because of a loss of consciousness associated to abdominal pain lasted 30 minutes. He was affected by amyloidosis, chronic renal impairment, diabetes. The biohumoral exams showed an important anemia (Hb 8 gr/dl). The abdomen X Ray was negative for intestinal occlusion; the ultrasound made in the Emergency Department did not show free fluid in the abdomen The abdomen CT made some hours later showed an hemoperitoneum and a disomogeneus spleen. The patient was valueted by the surgeon ad a spleenectomy was performed. The spleen was as big as a watermelon with a big haematoma During the operation, for hypotension, 8 units of red blood cells were infused to the patient. He was transferred in the ICU for 48 hours after the operation and he was discharged from the hospital after 8 days in good health
Un raro caso di rottura spontanea di milza in paziente con amiloidosi / Gozzi, Cristina; Giliberti, Giovanni; Brugioni, Lucio. - In: ITALIAN JOURNAL OF EMERGENCY MEDICINE. - ISSN 2532-1285. - (2014), pp. 22-25.
Un raro caso di rottura spontanea di milza in paziente con amiloidosi
Cristina Gozzi;Lucio Brugioni
2014
Abstract
BV, a 63 y.o. man was hospitalized in our Department because of a loss of consciousness associated to abdominal pain lasted 30 minutes. He was affected by amyloidosis, chronic renal impairment, diabetes. The biohumoral exams showed an important anemia (Hb 8 gr/dl). The abdomen X Ray was negative for intestinal occlusion; the ultrasound made in the Emergency Department did not show free fluid in the abdomen The abdomen CT made some hours later showed an hemoperitoneum and a disomogeneus spleen. The patient was valueted by the surgeon ad a spleenectomy was performed. The spleen was as big as a watermelon with a big haematoma During the operation, for hypotension, 8 units of red blood cells were infused to the patient. He was transferred in the ICU for 48 hours after the operation and he was discharged from the hospital after 8 days in good healthFile | Dimensione | Formato | |
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Rottura splenica-amiloidosi-ITJEM2014.pdf
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