Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 18 , ISSUE 2 ( February, 2014 ) > List of Articles

CASE REPORT

Spontaneous splenic rupture: A rare presentation of dengue fever

Mainak Mukhopadhyay, Chandan Chatterjee, Pranab Maity, Kartik Patar

Keywords : Dengue fever, hypotension, splenic rupture, spontaneous hemoperitoneum

Citation Information : Mukhopadhyay M, Chatterjee C, Maity P, Patar K. Spontaneous splenic rupture: A rare presentation of dengue fever. Indian J Crit Care Med 2014; 18 (2):110-112.

DOI: 10.4103/0972-5229.126085

License: CC BY-ND 3.0

Published Online: 01-11-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Spontaneous rupture of the spleen with hemoperitoneum is a very rare, but serious manifestation of dengue fever (DF). We report a case of a young female who was presented with atraumatic abdominal pain, hypovolemic shock, anemia, ascites and hepatosplenomegaly with a recent history of a febrile illness. Subsequent investigations proved the presence of hemoperitoneum with spontaneous splenic rupture with seropositivity for DF. Early diagnosis and conservative management in this case resulted in a favorable outcome.


PDF Share
  1. Pancharoen C, Kulwichit W, Tantawichien T, Thisyakorn U, Thisyakorn C. Dengue infection: A global concern. J Med Assoc Thai 2002;85 Suppl 1:S25-33.
  2. Gedik E, Girgin S, Aldemir M, Keles C, Tuncer MC, Aktas A. Non-traumatic splenic rupture: Report of seven cases and review of the literature. World J Gastroenterol 2008;14:6711-6.
  3. Asgari MM, Begos DG. Spontaneous splenic rupture in infectious mononucleosis: A review. Yale J Biol Med 1997;70:175-82.
  4. Hershey FB, Lubitz JM. Spontaneous rupture of the malarial spleen: Case report and analysis of 64 reported cases. Ann Surg 1948;127:40-57.
  5. Pungjitprapai A, Tantawichien T. A fatal case of spontaneous rupture of the spleen due to dengue virus infection: Case report and review. Southeast Asian J Trop Med Public Health 2008;39:383-6.
  6. de Moura Mendonça LS, de Moura Mendonça ML, Parrode N, Barbosa M, Cardoso RM, de Araújo-Filho JA. Splenic rupture in dengue hemorrhagic fever: Report of a case and review. Jpn J Infect Dis 2011;64:330-2.
  7. Sharma SK, Kadhiravan T. Spontaneous splenic rupture in dengue hemorrhagic fever. Am J Trop Med Hyg 2008;78:7.
  8. Miranda LE, Miranda SJ, Rolland M. Case report: Spontaneous rupture of the spleen due to dengue fever. Braz J Infect Dis 2003;7:423-5.
  9. Bhamarapravati N, Tuchinda P, Boonyapaknavik V. Pathology of Thailand haemorrhagic fever: A study of 100 autopsy cases. Ann Trop Med Parasitol 1967;61:500-10.
  10. Rapp C, Debord T, Imbert P, Lambotte O, Roué R. Splenic rupture in infectious disease: Splenectomy or conservative treatment? Report of three cases. Rev Med Interne 2002;23:85-91.
  11. Lianos G, Ignatiadou E, Bali C, Harissis H, Katsios C. Successful Nonoperative Management of Spontaneous Splenic Hematoma and Hemoperitoneum due to CMV Infection. Case Rep Gastrointest Med 2012;2012:328474. E-pub 2012. Nov 28.
  12. Abbas HM, Brenes RA, Ajemian MS, Scholand SJ. Successful conservative treatment of spontaneous splenic rupture secondary to Babesiosis: A case report and literature review. Conn Med 2011;75:143-6.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.