RESUMO
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Assuntos
Humanos , Feminino , Adulto , Colangite/epidemiologia , Fibrose Cística/complicações , Coledocolitíase/epidemiologia , Colangiopancreatografia Retrógrada Endoscópica/métodosRESUMO
La rotura espontánea del bazo es una situación clínica infrecuente que puede atribuirse a diferentes causas. Se presenta la experiencia recopilada retrospectivamente de 10 casos de rotura esplénica acumulados durante 12 años. En nuestra serie de 10 pacientes con rotura atraumática hubo 7 casos de rotura patológica. En los 3 pacientes restantes, la rotura se consideró espontánea. Sin embargo, 2 de estos pacientes eran obesos mórbidos, cuya posible asociación aún no se ha descrito en la literatura médica. Realizamos una revisión de la bibliografía para discutir la etiología, la patogenia y el tratamiento óptimo de esta afección clínica
The most common cause of splenic rupture is trauma. Less frequently the spleen ruptures due to an ongoing hematologic, infectious or tumoral disease (pathologic rupture). We present a series of 10 patients with atraumatic splenic rupture: in seven patients there was a pathologic rupture. Two of the remaining three patients with spontaneous rupture were morbidly obese; this association has not previously been reported. The present review discusses the etiology, pathogenesis and optimal treatment of this entity
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Ruptura Espontânea/etiologia , Ruptura Esplênica/etiologia , Estudos Retrospectivos , Obesidade Mórbida/complicações , EsplenectomiaRESUMO
The most common cause of splenic rupture is trauma. Less frequently the spleen ruptures due to an ongoing hematologic, infectious or tumoral disease (pathologic rupture). We present a series of 10 patients with atraumatic splenic rupture: in seven patients there was a pathologic rupture. Two of the remaining three patients with spontaneous rupture were morbidly obese; this association has not previously been reported. The present review discusses the etiology, pathogenesis and optimal treatment of this entity.
