Atraumatic splenic rupture in COVID-19 era: case report and systematic literature review.
Minerva Surg
; 78(1): 86-91, 2023 Feb.
Article
in English
| MEDLINE | ID: covidwho-2269874
ABSTRACT
Atraumatic splenic rupture is a rare but life-threatening condition. The Coronavirus disease 2019 (COVID-19) is still a mysterious infection, often associated with spontaneous bleeding and coagulation disorders. Among them, a rare presentation is the atraumatic splenic rupture during SARS-CoV-2 infection. We reported the case of a COVID-19 patient that underwent splenectomy for a spontaneous splenic rupture without splenomegaly or any hematological disorders. Moreover, we reviewed the literature about this matter focusing on the hypothetical etiopathogenesis of this condition in COVID-19 patients. Twelve cases of atraumatic splenic rupture without splenomegaly were reported in ten papers. Coughing, respiratory tract infections and anticoagulant treatment were postulated as the main risk factors for the spontaneous splenic rupture. COVID-19 is still a not well-known disease with multiple clinical presentations. The spontaneous splenic rupture is uncommon in general population but this event should not be neglected in this particular subset of patients.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Splenic Rupture
/
COVID-19
Type of study:
Case report
/
Prognostic study
/
Reviews
/
Systematic review/Meta Analysis
Topics:
Long Covid
Limits:
Humans
Language:
English
Journal:
Minerva Surg
Year:
2023
Document Type:
Article
Affiliation country:
S2724-5691.22.09718-0
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